Individual
PRESTON WYLIE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3131 BATTLEGROUND AVE, GREENSBORO, NC 27408-2631
(336) 288-1242
(336) 288-2860
Mailing address
3131 BATTLEGROUND AVE, GREENSBORO, NC 27408-2631
(336) 288-1242
(336) 288-2860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3283
NC
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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