Individual
DR. DERRICK KEITH WILCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
210 WINTON BLOUNT LOOP, DENTAL ASSOCIATES OF EAST MONTGOMERY, MONTGOMERY, AL 36117-0000
(334) 272-1677
(334) 272-8385
Mailing address
9141 HOUNDSBAY DR, MONTGOMERY, AL 36117-8471
(334) 396-7820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
008818
GA
1223G0001X
General Practice Dentistry
Primary
4823
AL
Other
Enumeration date
08/23/2006
Last updated
07/23/2007
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