Organization · Type 2 NPI
Walter F. Tickner, Dds, Inc.
Dental Clinic/Center · San Leandro, CA
NPI number
1073627345
Active
Practice location
1736 E 14th St
San Leandro, CA 94577-4803
Fax (510) 351-3116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 23418 (CA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1073627345
Walter F. Tickner, Dds, Inc.'s National Provider Identifier is 1073627345, issued on Aug 17, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Leandro, CA. The record was last updated on Aug 22, 2020.