Individual
DR. DOUGLAS ALLEN WYCKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 NORTH WALNUT ST, CAMERON, MO 64429
(816) 632-2822
Mailing address
PO BOX 464, CAMERON, MO 64429-0464
(816) 632-2822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO015416
MO
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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