Individual
DR. JEREMY WILGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3801 LAS POSAS RD, SUITE 205, CAMARILLO, CA 93010-1427
(805) 388-1730
(805) 388-2994
Mailing address
3801 LAS POSAS RD, SUITE 205, CAMARILLO, CA 93010-1427
(805) 388-1730
(805) 388-2994
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
51529
CA
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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