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Jody Wicks, D.d.s., Inc.
Dental Clinic/Center in Reseda, California
NPI 1912054107

Jody Wicks, D.d.s., Inc. is a Dental Clinic/Center based in Reseda, CA and is specialized in Dental. Jody Wicks, D.d.s., Inc. practices in Reseda, CA. The NPI Number for Jody Wicks, D.d.s., Inc. is 1912054107 and holds a License No. 033685 (California).

The current practice location address for Jody Wicks, D.d.s., Inc. is 6915 Reseda Blvd, Reseda, CA and can be reached out via phone at 818-881-8820.

Location: 6915 Reseda Blvd, Reseda, CA, 91335-4214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912054107
Provider Name
Jody Wicks, D.d.s., Inc.
Credential
Provider Entity Type
Organization
Address
6915 Reseda Blvd, Reseda, CA, 91335-4214
Phone Number
818-881-8820
Fax Number
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6915 Reseda Blvd
City
Reseda
State
California
Zip
91335-4214
Phone Number
818-881-8820
Fax Number
person
Provider Business Mailing Address Details
Address
6915 Reseda Blvd
City
Reseda
State
California
Zip
91335-4214
Phone Number
818-881-8820
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
033685 (California)
Definition
Definition to come...
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