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1629177001
JON DELLIVAN FUIKS
SACRAMENTO, CA
NPI
1629177001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 22713)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
JON DELLIVAN FUIKS DDS
2525 K ST #203
SACRAMENTO, CA 95816-5114
Phone number: 916-448-5702
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Mailing Address
JON DELLIVAN FUIKS DDS
2525 K ST #203
SACRAMENTO, CA 95816-5114
Phone number: 916-448-5702
Copy
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