Individual
MATTHEW RICHARD WIRIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
375 N STEPHANIE ST STE 211, 120, HENDERSON, NV 89014-8773
(702) 454-1008
(702) 454-1009
Mailing address
375 N STEPHANIE ST STE 211, 120, HENDERSON, NV 89014-8773
(702) 454-1008
(702) 454-1009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5511
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-175
NV
Other
Enumeration date
05/09/2008
Last updated
04/20/2017
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