DR. John R Licking, DDS
NPI #1376524140 in Los Altos, California
Provider Information
- NPI Number
- 1376524140
- Entity Type
- Individual
- Name
- DR. John R Licking, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Sep 10, 2024
Practice Location
- Address
- 730 ALTOS OAKS DR
- City
- Los Altos
- State
- California
- ZIP Code
- 94024-5401
- Phone
- (408) 736-6255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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