Organization
WIGGINS & GILES, DDS, PA
Active
Other names
Main Street Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENINE GILES (DENTIST/PARTNER)
(704) 301-6157
Entity
Organization
Contact information
Practice address
5050 KENTWORTH DR, HOLLY SPRINGS, NC 27540-7690
(919) 567-7400
Mailing address
5050 KENTWORTH DR, HOLLY SPRINGS, NC 27540-7690
(919) 567-7400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8595
NC
122300000X
Dentist
Primary
8604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910768
—
NC
05
—
5912482
—
NC
Enumeration date
04/01/2010
Last updated
04/01/2010
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