Individual
DYLAN PATRICK WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 MAPLE AVE STE 7, HONESDALE, PA 18431-1460
(570) 251-6534
Mailing address
31435 COUNTY ROUTE 4, CAPE VINCENT, NY 13618-2177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044632
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NE
Other
Enumeration date
02/21/2024
Last updated
05/28/2024
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