Individual
MR. STEFAN JAMES WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 COUNTRY CLUB RD, SPARTANBURG, SC 29302-3364
(864) 583-3717
(864) 573-6067
Mailing address
411 PROVIDENCE LN, MC CORMICK, SC 29835-4230
(864) 293-9454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9573
SC
Other
Enumeration date
04/01/2018
Last updated
05/14/2020
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