Individual
DR. KYLE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
203 SOUTH MARKET ST, CHARLESTON, MS 38921
(662) 647-8442
Mailing address
PO BOX 337, CHARLESTON, MS 38921
(662) 647-8442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3871-16
MS
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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