Organization
DANIEL D WICOREK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DRISCOLL WICOREK DDS (PRESIDENT)
(562) 493-3705
Entity
Organization
Contact information
Practice address
3551 FARQUHAR AVE, 101, LOS ALAMITOS, CA 90720-2003
(562) 493-3705
(562) 493-1572
Mailing address
3551 FARQUHAR AVE, 101, LOS ALAMITOS, CA 90720-2003
(562) 493-3705
(562) 493-1572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32657
CA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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