Individual
DR. JEFFREY KENT WICHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7373 147TH ST. W. #116, APPLE VALLEY, MN 55124
(952) 432-8110
(952) 432-4457
Mailing address
14600 GRANADA DR, APPLE VALLEY, MN 55124-7419
(952) 432-8110
(952) 432-4457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12069
MN
1223G0001X
General Practice Dentistry
D12069
MN
Other
Enumeration date
10/10/2006
Last updated
10/30/2017
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