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Individual

DR. TERA HARRISON WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
545 VENTURE DR, SMITHFIELD, NC 27577-4779
(919) 938-0525
Mailing address
3613 EAGLE POINT LN, WILSON, NC 27896-7395
(252) 674-1188

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10529
NC
122300000X
Dentist
50056977
NY

Other

Enumeration date
03/29/2012
Last updated
01/26/2022
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