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1912054107
JODY WICKS, D.D.S., INC.
RESEDA, CA
NPI
1912054107
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Entity Type
Organization
Authorized Contact
JODY WICKS
Dentist
818-881-8820
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CA 033685)
Enumeration Date
2007-01-03
Last Update Date
2020-08-22
Business Address
JODY WICKS, D.D.S., INC.
6915 RESEDA BLVD SUITE 2
RESEDA, CA 91335-4214
Phone number: 818-881-8820
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Mailing Address
JODY WICKS, D.D.S., INC.
6915 RESEDA BLVD SUITE 2
RESEDA, CA 91335-4214
Phone number: 818-881-8820
Copy
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