Individual
DR. STEPHEN WILLIAM WIIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3434 KILDAIRE FARM ROAD, SUITE 138, CARY, NC 27518
(919) 362-3862
(919) 362-6385
Mailing address
3434 KILDAIRE FARM ROAD, SUITE 138, CARY, NC 27518
(919) 362-3862
(919) 362-6385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8658
NC
122300000X
Dentist
DS035250
PA
Other
Enumeration date
12/27/2006
Last updated
09/14/2010
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