WALTER F. TICKNER

SAN LEANDRO, CA
NPI1962516211
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  23418)
Enumeration Date2006-08-17
Last Update Date2012-01-05
Business Address
-- WALTER F. TICKNER DDS
1736 E 14TH ST
SAN LEANDRO, CA 94577-4803
Phone number: 510-351-1400
Mailing Address
-- WALTER F. TICKNER DDS
1736 E 14TH ST
SAN LEANDRO, CA 94577-4803
Phone number: 510-351-1400
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