Individual
DR. LANCE F WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9723 COPPERTOP LOOP NE, SUITE 101, BAINBRIDGE ISLAND, WA 98110
(206) 842-6624
(206) 780-5654
Mailing address
9723 COPPERTOP LOOP NE, SUITE 101, BAINBRIDGE ISLAND, WA 98110-3699
(206) 842-6624
(206) 780-5654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WA9320
WA
Other
Enumeration date
11/30/2006
Last updated
01/20/2017
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