DAVID PATRICK WICKNESS

CHAMPAIGN, IL
NPI1235202953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
DR. DAVID PATRICK WICKNESS D.M.D.
1701 S PROSPECT AVE SUITE 203
CHAMPAIGN, IL 61820-7050
Phone number: 217-359-5050
Mailing Address
DR. DAVID PATRICK WICKNESS D.M.D.
1701 S PROSPECT AVE SUITE 203
CHAMPAIGN, IL 61820-7050
Phone number: 217-359-5050