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
ZIP Code
48849-1004
Phone
(616) 374-8828

Specialties & Taxonomy Codes

Specialty
Dentist

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