| Wiley M Elick Dds Inc | |
|
460 N Greenfield Suite 9 Hanford CA 93230 | |
| (559) 582-0238 | |
| (559) 582-9341 |
| Full Name | Wiley M Elick Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 460 N Greenfield, Hanford, California |
| Authorized Official Name and Position | Jennifer L Lewis (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 5595820238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiley M Elick Dds Inc 460 N Greenfield Suite 9 Hanford CA 93230 Ph: (559) 582-0238 | Wiley M Elick Dds Inc 460 N Greenfield Suite 9 Hanford CA 93230 Ph: (559) 582-0238 |
| NPI Number | 1093894925 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093894925 | NPI | - | NPPES |
| B2124501 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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