WALTER TICKNER, DDS
Dentist
Active
Individual
NPI: 1962516211
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 23418 (CA) |
Frequently Asked Questions
NPI 1962516211 is the National Provider Identifier for WALTER TICKNER, DDS, a Dentist provider located in San Leandro, CA. This NPI was enumerated on August 17, 2006.
WALTER TICKNER, DDS practices at 1736 E 14TH ST, San Leandro, CA 94577.
Quick Facts
- NPI
- 1962516211
- Type
- Individual
- Enumerated
- Aug 17, 2006
- Last Updated
- Jan 5, 2012
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