Individual
JENNIFER WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2507 N POINT RD, DUNDALK, MD 21222-1605
(410) 284-6650
Mailing address
2507 N POINT RD, DUNDALK, MD 21222-1605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15244
MD
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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