Individual
DR. DUSTIN MARK WIRIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
2001 UNION ST, SUITE 280, SAN FRANCISCO, CA 94123
(415) 921-4090
(415) 921-7832
Mailing address
2001 UNION ST, SUITE 280, SAN FRANCISCO, CA 94123
(415) 921-4090
(415) 921-7832
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
57129
CA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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