RYAN P WICKER

SHREVEPORT, LA
NPI1487684775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  5526)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
-- RYAN P WICKER DDS
8789 LINE AVE
SHREVEPORT, LA 71106-6813
Phone number: 318-865-1600
Mailing Address
-- RYAN P WICKER DDS
8789 LINE AVE
SHREVEPORT, LA 71106-6813
Phone number: 318-865-1600
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