Individual provider · Type 1 NPI

Jody Wicks, DDS

General Practice Dentistry · Reseda, CA

NPI number 1376698910 Active

About NPI 1376698910

Jody Wicks, DDS's National Provider Identifier is 1376698910, issued on Jan 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Reseda, CA. The record was last updated on Jul 8, 2007.