Organization
JAMES M. WILCKO D.M.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M. WILCKO D.M.D. (OFFICER/DENTIST)
(814) 868-3654
Entity
Organization
Contact information
Practice address
6070 PEACH ST, ERIE, PA 16509-3472
(814) 868-3654
Mailing address
6070 PEACH ST, ERIE, PA 16509-3472
(814) 868-3654
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
019714
PA
Other
Enumeration date
12/07/2005
Last updated
08/22/2020
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