Individual
JEANNINE E WYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. M. D.
Contact information
Practice address
701 W UNION BLVD, SUITE 5, BETHLEHEM, PA 18018-3700
(610) 867-1511
(610) 867-7223
Mailing address
701 W UNION BLVD, SUITE 5, BETHLEHEM, PA 18018-3700
(610) 867-1511
(610) 867-7223
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS030557-L
PA
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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