VANJA I ILLICH

SACRAMENTO, CA
NPI1952448078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  32421)
Enumeration Date2007-01-30
Last Update Date2007-07-09
Business Address
Dr. VANJA I ILLICH
5247 ELKHORN BLVD #C
SACRAMENTO, CA 95842-2509
Phone number: 916-344-2554
Mailing Address
Dr. VANJA I ILLICH
4273 MONK RD
PLACERVILLE, CA 95667-8610
Phone number: 916-344-2554
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