Individual
DR. RICHARD J. WALICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2260 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3831
(215) 634-7006
(215) 634-7096
Mailing address
2260 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3831
(215) 634-7006
(215) 634-7096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17029
NJ
1223G0001X
General Practice Dentistry
42445
CA
1223G0001X
General Practice Dentistry
Primary
DS026720L
PA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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