DR. Robert Daniel Wicks, D.D.S.

NPI #1053323311 in Ravenna, Ohio

Provider Information

NPI Number: 1053323311
Entity Type: Individual
Name: DR. Robert Daniel Wicks, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Aug 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4352 LOVERS LN
City: Ravenna
State: Ohio
ZIP Code: 44266-9132
Phone: (330) 296-4745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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