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Individual

DR. GREGORY L WIGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
160 S BELLWOOD DR, A, EAST ALTON, IL 62024-2086
(618) 258-0239
Mailing address
160 S BELLWOOD DR, A, EAST ALTON, IL 62024-2086

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
09/06/2005
Last updated
07/08/2007
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