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Mark Walter Wick (DDS)

Dr. Mark Walter Wick (DDS) is a health care provider specializes in Dentist.

profile-icon Basic Information

Practice Location 803 Highway #71 West, Savannah, MO 64485-1151, US
Practice Location Phone816-324-5644
Practice Location Fax816-324-6307
GenderMale
Specialty InDentist
NPI ?1861697559
Entity TypeIndividual
Enumeration Date ? Jun 20, 2007
Last Update Date ? Apr 9, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mark Walter Wick

SpecialtySpecializationLicenseLicense State
Dentist 012833Missouri

legacy-id-icon Legacy Provider IDs of Mark Walter Wick

Provider IdIssuer StateIssuer TypeIssuer
AW7777583OtherDEA
28276MissouriOtherBNDD
1861697559MissouriMedicaid