Organization
JENSEN BEACH DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J WIGLEY D.M.D., F.A.G.D. (DENTIST)
(772) 334-4004
Entity
Organization
Contact information
Practice address
914 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4704
(772) 334-4004
(772) 225-3168
Mailing address
914 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4704
(772) 334-4004
(772) 225-3168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12093
FL
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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