Individual
DR. WYLLIS EUGENE JAMES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4287 SILVER EAGLE CV, DENVER, NC 28037-8085
(704) 248-8275
Mailing address
4287 SILVER EAGLE CV, DENVER, NC 28037-8085
(704) 248-8275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994483
—
NC
Enumeration date
10/25/2006
Last updated
07/08/2007
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