Organization
WIRICK & ASSOCIATES DDS PA OF WILMINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A BULLOCK (PRACTICE MANAGER)
(910) 342-9210
Entity
Organization
Contact information
Practice address
1611 GREENFIELD ST, WILMINGTON, NC 28401-6455
(910) 342-9210
(910) 342-9211
Mailing address
1611 GREENFIELD ST, WILMINGTON, NC 28401-6455
(910) 342-9210
(910) 342-9211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6781
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013MP
—
NC
Enumeration date
08/19/2006
Last updated
08/11/2009
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