Individual
REANNA LEE WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7315 CLINTON HWY STE A, POWELL, TN 37849-5225
(865) 938-6465
Mailing address
6938 LAKE BLUFF CT, KNOXVILLE, TN 37920-6023
(414) 581-7120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12567
TN
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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