| Marybeth Wicker, Dds, Pc | |
|
9017 Forest Hill Ave Richmond VA 23235-3051 | |
| (804) 320-3200 | |
| Not Available |
| Full Name | Marybeth Wicker, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9017 Forest Hill Ave, Richmond, Virginia |
| Authorized Official Name and Position | Marybeth Wicker (PRESIDENT) |
| Authorized Official Contact | 8043203200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marybeth Wicker, Dds, Pc 9017 Forest Hill Ave Richmond VA 23235-3051 Ph: (804) 320-3200 | Marybeth Wicker, Dds, Pc 9017 Forest Hill Ave Richmond VA 23235-3051 Ph: (804) 320-3200 |
| NPI Number | 1750538203 |
|---|---|
| Provider Enumeration Date | 08/26/2008 |
| Last Update Date | 08/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750538203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410286 (Virginia) | Primary |
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