Individual
MATTHEW WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1079 MAIN ST, WEST WARWICK, RI 02893-3744
(401) 826-2833
Mailing address
1079 MAIN ST, WEST WARWICK, RI 02893-3744
(401) 826-2833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03726
RI
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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