DR. Gerald T Licari, DDS
NPI #1376630327 in Lake Odessa, Michigan
Provider Information
- NPI Number
- 1376630327
- Entity Type
- Individual
- Name
- DR. Gerald T Licari, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1032 4TH AVE
- City
- Lake Odessa
- State
- Michigan
- ZIP Code
- 48849-1004
- Phone
- (616) 374-8828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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Organizations
| Provider Name | |
|---|---|
| Gerald T Licari DDS PC |
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