Individual
DR. TIMOTHY GARY WIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
CORNER OF GREEN AND MAIN, BRUCETON MILLS, WV 26525
(304) 379-8101
(304) 379-8102
Mailing address
PO BOX 147, BRUCETON MILLS, WV 26525
(304) 379-8101
(304) 379-8102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3667
WV
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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