TIMOTHY E MICKIEWICZ

SACRAMENTO, CA
NPI1346393105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  30810)
Enumeration Date2007-01-18
Last Update Date2018-03-07
Business Address
-- TIMOTHY E MICKIEWICZ DDS
930 ALHAMBRA BLVD STE 110
SACRAMENTO, CA 95816-4479
Phone number: 916-469-9178
Mailing Address
-- TIMOTHY E MICKIEWICZ DDS
930 ALHAMBRA BLVD STE 110
SACRAMENTO, CA 95816-4479
Phone number: 916-469-9178