Jody Wicks, D.d.s., Inc.
NPI #1912054107 in Reseda, California
Provider Information
- NPI Number
- 1912054107
- Entity Type
- Organization
- Organization Name
- Jody Wicks, D.d.s., Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6915 RESEDA BLVD
- Address 2
- SUITE 2
- City
- Reseda
- State
- California
- ZIP Code
- 91335-4214
- Phone
- (818) 881-8820
Authorized Official
- Name
- DR. JODY WICKS, D.D.S.
- Title
- DENTIST
- Phone
- (818) 881-8820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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