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Organization
WIGGINS FAMILY DENTAL, PLLC
Active
Organization
WIGGINS FAMILY DENTAL, PLLC
Active
Other names
Market Street Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE R WIGGINS DMD (PRESIDENT/OWNER)
(662) 647-8442
Entity
Organization
Contact information
Practice address
203 S MARKET ST, CHARLESTON, MS 38921-2236
(662) 647-8442
(662) 647-3559
Mailing address
203 S MARKET ST, CHARLESTON, MS 38921-2236
(662) 647-8442
(662) 647-3559
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
387116
MS
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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