Individual
EMILY WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
315 EAST AVE STE 1, RED WING, MN 55066-2567
(651) 388-1147
Mailing address
1510 THOMAS LAKE POINTE RD APT 315, EAGAN, MN 55122-2536
(952) 846-9471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14564
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
06/07/2021
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