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Organization
KRISTINA L. WILEY, DDS, INC.
Active
Organization
KRISTINA L. WILEY, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA LINDE WILEY D.D.S. (OWNER)
(707) 678-9248
Entity
Organization
Contact information
Practice address
805 N LINCOLN ST STE A, DIXON, CA 95620-2172
(707) 678-9248
(707) 678-9274
Mailing address
805 N. LINCOLN ST SUITE A, DIXON, CA 95620
(707) 678-9248
(707) 678-9274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D41149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9337301
—
CA
Enumeration date
02/15/2008
Last updated
02/15/2008
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