Individual
NICOLETTE D. WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
957 BEN FRANKLIN HIGHWAY WEST, DOUGLASSVILLE, PA 19518
(610) 385-0022
Mailing address
131 BLACKWOOD LN, DOUGLASSVILLE, PA 19518-9366
(484) 269-3510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043285
PA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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