Individual
DR. THOMAS JAMES WICKLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.D.
Contact information
Practice address
1690 RIMROCK RD, BILLINGS, MT 59102-0700
(406) 248-3303
Mailing address
1690 RIMROCK RD, BILLINGS, MT 59102-0700
(406) 248-3303
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1502
MT
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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