Individual
WILLIAM M WILCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
6066 PEACH ST, ERIE, PA 16509
(814) 868-8679
(814) 868-9445
Mailing address
6066 PEACH ST, ERIE, PA 16509
(814) 868-8679
(814) 868-9445
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS021750L
PA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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