DAVID PATRICK WICKNESS

CHAMPAIGN, IL
NPI1235202953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-025601)
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
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