DR. Donald Jay Wickstra, DDS

NPI #1871544320 in Hamilton, Michigan

Provider Information

NPI Number
1871544320
Entity Type
Individual
Name
DR. Donald Jay Wickstra, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 12, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
3494 LINCOLN RD
ZIP Code
49419-9512
Phone
(269) 751-4601

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Provider Name
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