Individual
DR. VIKRAM RAJ TIKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3221 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-6924
(805) 544-8111
Mailing address
3221 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-6924
(805) 544-8111
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6303
CA
Other
Enumeration date
07/31/2012
Last updated
08/26/2019
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