Organization
HAMILTON DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN H WICKSTRA DDS (PARTNER)
(269) 751-4601
Entity
Organization
Contact information
Practice address
3494 LINCOLN RD, HAMILTON, MI 49419-9512
(269) 751-4601
(269) 751-4522
Mailing address
PO BOX 256, HAMILTON, MI 49419-9019
(269) 751-4601
(269) 751-4522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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