Individual
FREDERICK CHARLES WIGHTMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301 N HARRISON ST, 2ND FLOOR, PRINCETON, NJ 08540-3512
(609) 924-0796
(609) 924-7166
Mailing address
301 N HARRISON ST, 2ND FLOOR, PRINCETON, NJ 08540-3512
(609) 924-0796
(609) 924-7166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01426100
NJ
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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