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1700093028
DAVID JOHN WICKS
AUGUSTA, ME
NPI
1700093028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ME ME 3095)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Dr. DAVID JOHN WICKS DDS
133 STATE ST
AUGUSTA, ME 04330-5613
Phone number: 207-622-2400
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Mailing Address
Dr. DAVID JOHN WICKS DDS
PO BOX 2717
BANGOR, ME 04402-2717
Phone number: 207-973-3953
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