Individual
DR. BROOKE ELIZABETH CICERO WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4850 N WASHINGTON ST, FORREST CITY, AR 72335-7674
(870) 630-1500
Mailing address
129 FLEETS ISLAND DR, MEMPHIS, TN 38103-9033
(727) 946-3020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
390200000X
FL
1223P0221X
Pediatric Dentistry
Primary
129
AR
Other
Enumeration date
05/21/2022
Last updated
02/13/2025
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