Wilkes Dental Consortium INC

NPI #1184728339 in N Wilkesboro, North Carolina

Provider Information

NPI Number: 1184728339
Entity Type: Organization
Organization Name: Wilkes Dental Consortium INC
Primary Specialty: Dentist
Enumeration Date: Sep 9, 2006
Last Updated: Oct 26, 2007

Practice Location

Address: 1915 WEST PARK DR
Address 2: SUITE 104
City: N Wilkesboro
State: North Carolina
ZIP Code: 28659-3777
Phone: (336) 903-7302

Authorized Official

Name: MR. JERALD H. ATKINS
Title: OFFICE MANAGER
Phone: (336) 903-7302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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