Organization
ALPHA OMEGA DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA MAE WIGGINS DDS (OWNER - SOLE MEMBER)
(906) 225-1100
Entity
Organization
Contact information
Practice address
1550 COMMERCE DR, MARQUETTE, MI 49855-8640
(906) 225-1100
(906) 225-0889
Mailing address
1550 COMMERCE DR, MARQUETTE, MI 49855-8640
(906) 225-1100
(906) 225-0889
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901016962
MI
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/21/2006
Last updated
03/03/2024
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