Jody Wicks, D.D.S.
NPI #1376698910 in Reseda, California
Provider Information
- NPI Number
- 1376698910
- Entity Type
- Individual
- Name
- Jody Wicks, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6915 RESEDA BLVD
- Address 2
- SUITE 2
- City
- Reseda
- State
- California
- ZIP Code
- 91335-4214
- Phone
- (818) 881-8820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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