Organization
MATTHEW R. WIRIG, DMD, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RICHARD WIRIG D.M.D. (PRESIDENT)
(702) 454-1008
Entity
Organization
Contact information
Practice address
34 N VALLE VERDE DR, 120, HENDERSON, NV 89074-1774
(702) 454-1008
Mailing address
34 N VALLE VERDE DR, 120, HENDERSON, NV 89074-1774
(702) 454-1008
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-175
NV
Other
Enumeration date
05/09/2008
Last updated
11/18/2008
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