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DR. CURTIS E VIXIE DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1700996808

Individual Registrant:
DR. CURTIS E VIXIE DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3020 JOHNSTONVILLE RD  SUSANVILLE, GA 96130-4730 US
Tel: 530-257-2395  Fax: 530-257-6914

Contact information for business:
3020 JOHNSTONVILLE RD  SUSANVILLE, GA 96130-4730 US
Tel: 530-257-2395  Fax: 530-257-6914

Registration Information:
NPI: 1700996808
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA37302

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DENTA-CALG9059701CA01




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