MACKENZIE WICKMAN
Dental Hygienist
Active
Individual
NPI: 1104297571
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes | 1002641 (WI) |
Frequently Asked Questions
NPI 1104297571 is the National Provider Identifier for MACKENZIE WICKMAN, a Dental Hygienist provider located in Lakewood, WI. This NPI was enumerated on October 12, 2015.
MACKENZIE WICKMAN practices at 15397 STATE HIGHWAY 32, Lakewood, WI 54138.
Quick Facts
- NPI
- 1104297571
- Type
- Individual
- Enumerated
- Oct 12, 2015
- Last Updated
- Oct 31, 2024
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ANASTASIA STARZER, RDH
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