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Individual

DR. DAVID WILES WIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
875 UNION AVE STE C211, MEMPHIS, TN 38103-3513
(901) 448-6213
Mailing address
129 FLEETS ISLAND DR, MEMPHIS, TN 38103-9033
(479) 719-1548

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
FL

Other

Enumeration date
05/24/2022
Last updated
05/24/2022
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