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Organization
SHAWN WIDICK, D.D.S. INC.
Active
Organization
SHAWN WIDICK, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN WIDICK DDS (PRESIDENT)
(707) 433-6907
Entity
Organization
Contact information
Practice address
704 HEALDSBURG AVE, SUITE A, HEALDSBURG, CA 95448-3651
(707) 433-6907
(707) 433-1302
Mailing address
704 HEALDSBURG AVE, SUITE A, HEALDSBURG, CA 95448-3651
(707) 433-6907
(707) 433-1302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43098
CA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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