George Thomas Wickersham

NPI 1083770465 - Dentist - 1223P0221X

NPI Details
NPI 1083770465
Gender Male
Enumeration Date 12/29/2006
Last Updated 10/03/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2260 CROSS TIMBERES RD
STE A
FLOWER MOUND TX, 75028, US
Phone (972) 874-2800
Fax (972) 539-0165
Business Location
2260 CROSS TIMBERES RD
STE A
FLOWER MOUND TX, 75028, US
Phone (972) 874-2800
Fax (972) 539-0165
Toxanomy
Taxonomy Code 1223P0221X
License State Texas
License Number 17875
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According to our database, George Thomas Wickersham NPI is 1083770465, taxonomy code is 1223P0221X and license number is 17875, license state is located at Texas. George Thomas Wickersham physically located at 2260 Cross Timberes Rd, Flower Mound TX, 75028. NPI Number George Thomas Wickersham has the Individual type.

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1083770465 NPI number is provided on an as is basis without warranty of any kind. 1083770465 is maintained by the National Plan & Provider Enumeration System. The contents of George Thomas Wickersham are for informational purposes only.