Individual
DR. MATTHEW JUDSON WIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7509 SIX FORKS RD, SUITE 201, RALEIGH, NC 27615-5020
(919) 605-0432
Mailing address
7509 SIX FORKS RD, SUITE 201, RALEIGH, NC 27615-5020
(919) 605-0432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IN PROGRESS
NC
Other
Enumeration date
04/13/2011
Last updated
09/17/2012
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