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Individual

DR. ROBERT RAY WIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
13921 MERIDIAN E, SUITE 108, PUYALLUP, WA 98373-5604
(253) 841-2455
(253) 770-0254
Mailing address
13921 MERIDIAN E, SUITE 108, PUYALLUP, WA 98373-5604
(253) 841-2455
(253) 770-0254

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4994
WA

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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