Jensen Beach Dental Center
NPI #1194812354 in Jensen Beach, Florida
Provider Information
- NPI Number
- 1194812354
- Entity Type
- Organization
- Organization Name
- Jensen Beach Dental Center
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 914 NE JENSEN BEACH BLVD
- City
- Jensen Beach
- State
- Florida
- ZIP Code
- 34957-4704
- Phone
- (772) 334-4004
Authorized Official
- Name
- DR. CHRISTOPHER J WIGLEY, D.M.D., F.A.G.D.
- Title
- DENTIST
- Phone
- (772) 334-4004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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