person
Dr. John R Licking, DDS
General Practice Dentistry in Los Altos, California
NPI 1376524140

John R Licking is a General Practice Dentistry based in Los Altos, CA and is specialized in General Practice. John R Licking practices in Los Altos, CA and has the professional credentials of DDS. The NPI Number for John R Licking is 1376524140 and holds a License No. 21321 (California).

The current practice location address for John R Licking is 730 Altos Oaks Dr, Los Altos, CA and can be reached out via phone at 408-736-6255 and via fax at 408-736-6100.

Location: 730 Altos Oaks Dr, Los Altos, CA, 94024-5401
person
Provider Profile Details
NPI Number
1376524140
Provider Name
John R Licking
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
730 Altos Oaks Dr, Los Altos, CA, 94024-5401
Phone Number
408-736-6255
Fax Number
408-736-6100
Provider Enumeration Date
11/09/2005
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21321 01 CA CA
institution
Provider Business Practice Location Address Details
Address
730 Altos Oaks Dr
City
State
Zip
94024-5401
Phone Number
408-736-6255
Fax Number
408-736-6100
person
Provider Business Mailing Address Details
Address
730 Altos Oaks Dr
City
State
Zip
94024-5401
Phone Number
408-736-6255
Fax Number
408-736-6100
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
21321 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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