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NPI Code Detail

MEDICARE: DR. JOYCE M LITCH DDS MSD

MEDICARE:  DR. JOYCE M LITCH  DDS MSD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics34732CA

General Provider Information

NPI Number : 1366531378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOYCE M LITCH DDS MSD
Provider Business Mailing Address
First Line : 2160 S BASCOM AVE
Second Line : 1
City : CAMPBELL
State : CA
Zip : 95008-3297
Country : US
Telephone Number : 408-371-7616
Fax Number : 408-371-7651
Provider Business Practice Location Address
First Line : 2160 S BASCOM AVE
Second Line : #1
City : CAMPBELL
State : CA
Zip : 95008-3294
Country : US
Telephone Number : 408-371-7616
Fax Number : 408-371-7651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 02/07/2017

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Directions to “ DR. JOYCE M LITCH DDS MSD” Practice Location

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