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Organization

WIGGINS FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH CAIN DMD (PRESIDENT)
(601) 928-2229
Entity
Organization

Contact information

Practice address
208 VARDAMAN ST S, WIGGINS, MS 39577-2600
(601) 928-2229
Mailing address
208 VARDAMAN ST S, WIGGINS, MS 39577-2600
(601) 928-2229

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2990-97
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01888809
MS
Enumeration date
03/17/2008
Last updated
03/17/2008
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