Individual
DR. MARK EDWARD WIYGUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5340 POPLAR AVE, SUITE 2, MEMPHIS, TN 38119-3516
(901) 683-7771
(901) 683-7772
Mailing address
5340 POPLAR AVE, SUITE 2, MEMPHIS, TN 38119-3516
(901) 683-7771
(901) 683-7772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS4197
TN
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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