George Thomas Wickersham
NPI #1083770465 in Flower Mound, Texas
Provider Information
- NPI Number
- 1083770465
- Entity Type
- Individual
- Name
- George Thomas Wickersham
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Oct 3, 2007
Practice Location
- Address
- 2260 CROSS TIMBERES RD
- Address 2
- STE A
- City
- Flower Mound
- State
- Texas
- ZIP Code
- 75028
- Phone
- (972) 874-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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