Individual
DR. MARYBETH WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
14001 CHARTER PARK DRIVE, MIDLOTHIAN, VA 23114
(804) 379-1011
(804) 419-1059
Mailing address
1612 HUGUENOT ROAD, MIDLOTHIAN, VA 23113
(804) 794-9789
(804) 419-1059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410286
VA
Other
Enumeration date
09/21/2006
Last updated
08/27/2021
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