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1952448078
VANJA I ILLICH
SACRAMENTO, CA
NPI
1952448078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 32421)
Enumeration Date
2007-01-30
Last Update Date
2007-07-09
Business Address
Dr. VANJA I ILLICH
5247 ELKHORN BLVD #C
SACRAMENTO, CA 95842-2509
Phone number: 916-344-2554
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Mailing Address
Dr. VANJA I ILLICH
4273 MONK RD
PLACERVILLE, CA 95667-8610
Phone number: 916-344-2554
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