Organization
JODY WICKS, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY WICKS D.D.S. (DENTIST)
(818) 881-8820
Entity
Organization
Contact information
Practice address
6915 RESEDA BLVD, SUITE 2, RESEDA, CA 91335-4214
(818) 881-8820
Mailing address
6915 RESEDA BLVD, SUITE 2, RESEDA, CA 91335-4214
(818) 881-8820
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
033685
CA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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