Jody Wicks, D.d.s., Inc. | |
6915 Reseda Blvd Suite 2 Reseda CA 91335-4214 | |
(818) 881-8820 | |
Not Available |
Full Name | Jody Wicks, D.d.s., Inc. |
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Speciality | Clinic/center - Dental |
Location | 6915 Reseda Blvd, Reseda, California |
Authorized Official Name and Position | Jody Wicks (DENTIST) |
Authorized Official Contact | 8188818820 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jody Wicks, D.d.s., Inc. 6915 Reseda Blvd Suite 2 Reseda CA 91335-4214 Ph: (818) 881-8820 | Jody Wicks, D.d.s., Inc. 6915 Reseda Blvd Suite 2 Reseda CA 91335-4214 Ph: (818) 881-8820 |
NPI Number | 1912054107 |
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Provider Enumeration Date | 01/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912054107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 033685 (California) | Primary |
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