Individual
DR. MATTHEW STEPHEN WIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2945 NEW BERN AVE, RALEIGH, NC 27610-1213
(919) 834-4932
(919) 834-7332
Mailing address
2945 NEW BERN AVE, RALEIGH, NC 27610-1213
(919) 834-4932
(919) 834-7332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6781
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990058
—
NC
Enumeration date
07/15/2006
Last updated
07/08/2007
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