Individual
DR. NICHOLAS WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
650 W BALTIMORE ST, 1ST FLOOR SUITE 1401, BALTIMORE, MD 21201-1510
(410) 706-6195
Mailing address
613 S FREMONT AVE, BALTIMORE, MD 21230-2429
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16096
MD
Other
Enumeration date
03/17/2015
Last updated
09/20/2021
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