Individual
MR. DANIEL JOSEPH WILGUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1516 SOUTH IOWA, CHANDLER, OK 74834
(405) 258-2684
(405) 258-5353
Mailing address
PO BOX 249, CHANDLER, OK 74834-0249
(405) 258-2684
(405) 258-5353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5503
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621530
UNITED CONCORDIA
—
05
—
200032390A
—
OK
Enumeration date
10/24/2006
Last updated
07/08/2007
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