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Organization
WILEY M ELICK, DDS, INC
Active
Organization
WILEY M ELICK, DDS, INC
Active
Parent organization
WILEY M ELICK, DDS, INC.,DBA KIDS DENTAL GROUP
Other names
Kids Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILEY M ELICK, DDS, INC.,DBA KIDS DENTAL GROUP
Authorized official
DR. WILEY M ELICK DDS (PRESIDENT)
(559) 582-0238
Entity
Organization
Contact information
Practice address
833 GREENFIELD AVE, #105, HANFORD, CA 93230-3672
(559) 582-0238
(559) 582-1365
Mailing address
833 GREENFIELD AVE, #105, HANFORD, CA 93230-3672
(559) 582-0238
(559) 582-1365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21245
CA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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