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1518076264
KEVIN J WICKS
HORSEHEADS, NY
NPI
1518076264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 041448)
Enumeration Date
2006-08-29
Last Update Date
2016-04-06
Business Address
-- KEVIN J WICKS DDS
2860 WESTINGHOUSE RD
HORSEHEADS, NY 14845
Phone number: 607-796-2663
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Mailing Address
-- KEVIN J WICKS DDS
2511 CORNING RD
ELMIRA, NY 14903-1047
Phone number: 607-796-5985
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