DR. Edward Paul Wicorek, DDS

NPI #1457492399 in Los Alamitos, California

Provider Information

NPI Number: 1457492399
Entity Type: Individual
Name: DR. Edward Paul Wicorek, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3551 FARQUHAR AVE STE 101
City: Los Alamitos
State: California
ZIP Code: 90720-2003
Phone: (562) 493-3705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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