Individual
DR. EDWARD PAUL WICOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3551 FARQUHAR AVE STE 101, LOS ALAMITOS, CA 90720-2003
(562) 493-3705
(562) 493-1572
Mailing address
3551 FARQUHAR AVE STE 101, LOS ALAMITOS, CA 90720-2003
(562) 493-3705
(562) 493-1572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26563
CA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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