Cecile Catherine Nazario Licauco, D.D.S.

NPI #1912057431 in La Palma, California

Provider Information

NPI Number: 1912057431
Entity Type: Individual
Name: Cecile Catherine Nazario Licauco, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 10, 2007
Last Updated: Oct 23, 2023

Practice Location

Address: 30 CENTERPOINTE DR STE 10
City: La Palma
State: California
ZIP Code: 90623-2575
Phone: (714) 994-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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