Individual
DR. MAGNA ISABELLE WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
190 CARR 1, SUITE 12 CENTRO COMERCIAL BAIROA, CAGUAS, PR 00725-1591
(787) 746-6660
(787) 743-5255
Mailing address
100 CALLE ALCALA, COLLEGE PARK APT. 1702, SAN JUAN, PR 00921-3908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3214
PR
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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