Individual
DR. KENNETH MORRIS WIGGINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1611 SANDS PL SE # 100, MARIETTA, GA 30067-8785
(770) 226-0008
(770) 226-0700
Mailing address
1611 SANDS PL SE # 100, MARIETTA, GA 30067-8785
(770) 226-0008
(770) 226-0700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20713
OH
122300000X
Dentist
Primary
DN012484
GA
Other
Enumeration date
05/02/2007
Last updated
07/09/2007
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