Individual
MRS. PRISCILLA LEE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA, BS, RDH
Contact information
Practice address
5 KEITH WAY #3, HINGHAM, MA 02043
(781) 608-8838
Mailing address
57 STONE CHURCH RD, TIVERTON, RI 02878-2814
(508) 944-2416
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2530846
MA
Other
Enumeration date
12/03/2021
Last updated
12/17/2021
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