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Individual

MATTHEW WILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1537 E 17TH AVE, HUTCHINSON, KS 67501-1114
(620) 888-2998
(620) 860-1914
Mailing address
1537 E 17TH AVE, HUTCHINSON, KS 67501-1114
(620) 888-2998
(620) 860-1914

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61999
KS
1223G0001X
General Practice Dentistry
DN015236
GA

Other

Enumeration date
08/15/2016
Last updated
03/21/2023
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