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Organization
BRIAN J. WICENSKI, DMD, MARY E. WICENSKI, DMD, PLLC
Active
Organization
BRIAN J. WICENSKI, DMD, MARY E. WICENSKI, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY WICENSKI DMD (MEMBER OF PLLC; DENTIST)
(603) 526-2286
Entity
Organization
Contact information
Practice address
27 NEWPORT ROAD, NEW LONDON, NH 03257
(603) 526-2286
Mailing address
PO BOX 1017, NEW LONDON, NH 03257-1017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3019, 3020
NH
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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