Benjamin H Wickstra DDS Pllc

NPI #1528344363 in Holland, Michigan

Provider Information

NPI Number
1528344363
Entity Type
Organization
Organization Name
Benjamin H Wickstra DDS Pllc
Primary Specialty
Dentist
Enumeration Date
Oct 25, 2011
Last Updated
Oct 25, 2011

Practice Location

Address
99 W 26TH ST
ZIP Code
49423-4970
Phone
(616) 218-5795

Authorized Official

Name
DR. BENJAMIN WICKSTRA, DDS
Title
PRESIDENT
Phone
(616) 218-5795

Specialties & Taxonomy Codes

Specialty
Dentist

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