Individual
DR. RICHARD WILCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
702 W 34TH ST, ERIE, PA 16508-2649
(814) 868-5411
Mailing address
1415 DRAKE DR, ERIE, PA 16505-2603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041855
PA
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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