MARK NICHOLAS IVANICKI

SANTA ANA, CA
NPI1417921974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  33594)
Enumeration Date2006-02-13
Last Update Date2007-07-08
Business Address
Dr. MARK NICHOLAS IVANICKI DDS
1200 N TUSTIN AVE SUITE 102
SANTA ANA, CA 92705-3508
Phone number: 714-835-2215
Mailing Address
Dr. MARK NICHOLAS IVANICKI DDS
1200 N TUSTIN AVE SUITE 102
SANTA ANA, CA 92705-3508
Phone number: 714-835-2215
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