Jeremy C Wiggins, DDS

NPI #1912916461 in Lewiston, Idaho

Provider Information

NPI Number
1912916461
Entity Type
Individual
Name
Jeremy C Wiggins, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Aug 5, 2006
Last Updated
Dec 2, 2010

Practice Location

Address
3326 4TH ST STE 4
State
Idaho
ZIP Code
83501-4455
Phone
(208) 743-2505

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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