Organization
BRIAN J. WICENSKI, DMD, MARY E. WICENSKI, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY WICENSKI DMD (MEMBER OF PLLC; DENTIST)
(603) 526-2286
Entity
Organization
Contact information
Practice address
27 NEWPORT ROAD, NEW LONDON, NH 03257
(603) 526-2286
Mailing address
PO BOX 1017, NEW LONDON, NH 03257-1017
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3019, 3020
NH
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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