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1760564231
THOMAS A WICHETA
AUSTIN, TX
NPI
1760564231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15837)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
Dr. THOMAS A WICHETA D.D.S.
3301 NORTHLAND DR STE 315
AUSTIN, TX 78731-4952
Phone number: 512-459-0691
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Mailing Address
Dr. THOMAS A WICHETA D.D.S.
3301 NORTHLAND DR STE 315
AUSTIN, TX 78731-4952
Phone number: 512-459-0691
Copy
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