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1346393105
TIMOTHY E MICKIEWICZ
SACRAMENTO, CA
NPI
1346393105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 30810)
Enumeration Date
2007-01-18
Last Update Date
2018-03-07
Business Address
-- TIMOTHY E MICKIEWICZ DDS
930 ALHAMBRA BLVD STE 110
SACRAMENTO, CA 95816-4479
Phone number: 916-469-9178
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Mailing Address
-- TIMOTHY E MICKIEWICZ DDS
930 ALHAMBRA BLVD STE 110
SACRAMENTO, CA 95816-4479
Phone number: 916-469-9178
Copy
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