Timothy E Mickiewicz Dental Corporation
Timothy E Mickiewicz Dental Corporation is a Preferred Provider Organization in Sacramento, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
3401 Folsom Blvd Ste ASacramento, CA 95816-5354
Phone: (916) 457-7710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 30810 (CA) |
|---|
Record details
| NPI number | 1558668244 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Mickiewicz — Dentist · (916) 457-7710 |
| NPI enumerated | February 16, 2011 |
| Last updated in NPPES | August 13, 2014 |
| Mailing address | 3401 Folsom Blvd, Suite A, Sacramento, CA 95816-5354 |
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