Michael G Wiley, DDS, MS

NPI #1124109491 in Colorado Springs, Colorado

Provider Information

NPI Number: 1124109491
Entity Type: Individual
Name: Michael G Wiley, DDS, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Prosthodontics
Credential: DDS, MS
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5725 ERINDALE DR STE 200
City: Colorado Springs
State: Colorado
ZIP Code: 80918-1984
Phone: (719) 593-0005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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