JOHN R UKICH

COEUR D ALENE, ID
NPI1972657922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: ID  D3742)
Enumeration Date2007-01-23
Last Update Date2007-07-09
Business Address
-- JOHN R UKICH D.D.S.
1717 LINCOLN WAY SUITE 205
COEUR D ALENE, ID 83814-2556
Phone number: 208-667-3556
Mailing Address
-- JOHN R UKICH D.D.S.
1492 E TWISTWOOD DR
HAYDEN LAKE, ID 83835-7258
Phone number: 208-667-3556
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