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Walter Tickner, DDS
NPI 1962516211 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1736 E 14th St
San Leandro, CA 94577 - Phone
- (510) 351-1400
- Fax
- (510) 351-3116
- Organisation at this address
- Walter F. Tickner, Dds, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California