Wiley M Elick, Dds, INC

NPI #1912350364 in Hanford, California

Provider Information

NPI Number: 1912350364
Entity Type: Organization
Organization Name: Wiley M Elick, Dds, INC
Subpart: Yes (part of a larger organization)
Parent Organization: WILEY M ELICK, DDS, INC.,DBA KIDS DENTAL GROUP
Primary Specialty: Dentist
Enumeration Date: Jul 21, 2016
Last Updated: Jul 21, 2016

Practice Location

Address: 833 GREENFIELD AVE
Address 2: #105
City: Hanford
State: California
ZIP Code: 93230-3672
Phone: (559) 582-0238

Authorized Official

Name: DR. WILEY M ELICK, DDS
Title: PRESIDENT
Phone: (559) 582-0238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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