Individual
DR. KATRINA M WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
626 W CENTENNIAL AVE, CARTHAGE, MO 64836-2846
(417) 358-9006
Mailing address
626 W CENTENNIAL AVE, CARTHAGE, MO 64836-2846
(417) 358-9006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016018482
MO
Other
Enumeration date
06/14/2016
Last updated
01/23/2023
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