Individual provider · Type 1 NPI

John R. Licking, DDS

General Practice Dentistry · Los Altos, CA

NPI number 1376524140 Active

About NPI 1376524140

John R. Licking, DDS's National Provider Identifier is 1376524140, issued on Nov 9, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Altos, CA. The record was last updated on Sep 10, 2024.