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Individual

DR. ALAN M WIXOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2490 F RD, UNIT 2, GRAND JUNCTION, CO 81505-1238
(970) 242-9202
Mailing address
2490 F RD, UNIT 2, GRAND JUNCTION, CO 81505-1238
(970) 242-9202

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6381
CO

Other

Enumeration date
05/25/2007
Last updated
07/08/2007
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