Individual
MARY QUILICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5168 HONPIE RD, PLACERVILLE, CA 95667-8682
(530) 387-4975
Mailing address
101 HINGHAM SQ, FOLSOM, CA 95630-6403
(916) 990-5926
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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