| Daniel D Wicorek Dds Inc | |
|
3551 Farquhar Ave 101 Los Alamitos CA 90720-2003 | |
| (562) 493-3705 | |
| (562) 493-1572 |
| Full Name | Daniel D Wicorek Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3551 Farquhar Ave, Los Alamitos, California |
| Authorized Official Name and Position | Daniel Driscoll Wicorek (PRESIDENT) |
| Authorized Official Contact | 5624933705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel D Wicorek Dds Inc 3551 Farquhar Ave 101 Los Alamitos CA 90720-2003 Ph: (562) 493-3705 | Daniel D Wicorek Dds Inc 3551 Farquhar Ave 101 Los Alamitos CA 90720-2003 Ph: (562) 493-3705 |
| NPI Number | 1467844126 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467844126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 32657 (California) | Primary |
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