Individual
CHRISTOPHER B. WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6515 BLUE STAR HIGHWAY, SAUGATUCK, MI 49453-1108
(269) 857-1496
(269) 857-4791
Mailing address
PO BOX 1108, SAUGATUCK, MI 49453-1108
(269) 857-1496
(269) 857-1497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
143490
MI
1223G0001X
General Practice Dentistry
143490
OH
Other
Enumeration date
08/18/2006
Last updated
10/11/2022
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