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Individual

DR. LEAH MARIE WIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3295 FORNEY STREET, ATTN; MS FREEMAN, FORT JACKSON, SC 29207-0001
(803) 751-6213
Mailing address
4323 HILL ST, ATTN; MS FREEMAN, COLUMBIA, SC 29207-6022
(803) 751-6213

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054608
NY

Other

Enumeration date
09/01/2009
Last updated
06/07/2016
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