Individual
DR. CARL K WYCKOFF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 E MANTUA AVE, WENONAH, NJ 08090-1921
(856) 468-5858
(856) 468-9098
Mailing address
200 E MANTUA AVE, WENONAH, NJ 08090-1921
(856) 468-5858
(856) 468-9098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11728
NJ
1223G0001X
General Practice Dentistry
16417
NJ
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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