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Kristina L. Wiley, Dds, Inc.
Dental Clinic/Center in Dixon, California
NPI 1821398587

Kristina L. Wiley, Dds, Inc. is a Dental Clinic/Center based in Dixon, CA and is specialized in Dental. Kristina L. Wiley, Dds, Inc. practices in Dixon, CA. The NPI Number for Kristina L. Wiley, Dds, Inc. is 1821398587 and holds a License No. 41149 (California).

The current practice location address for Kristina L. Wiley, Dds, Inc. is 140 N Jackson St, Dixon, CA and can be reached out via phone at 707-678-9248 and via fax at 707-678-9274.

Location: 140 N Jackson St, Dixon, CA, 95620-3034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821398587
Provider Name
Kristina L. Wiley, Dds, Inc.
Credential
Provider Entity Type
Organization
Address
140 N Jackson St, Dixon, CA, 95620-3034
Phone Number
707-678-9248
Fax Number
707-678-9274
Provider Enumeration Date
10/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G9337301 05 CA
institution
Provider Business Practice Location Address Details
Address
140 N Jackson St
City
Dixon
State
California
Zip
95620-3034
Phone Number
707-678-9248
Fax Number
707-678-9274
person
Provider Business Mailing Address Details
Address
140 N Jackson St
City
Dixon
State
California
Zip
95620-3034
Phone Number
707-678-9248
Fax Number
707-678-9274
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
41149 (California)
Definition
Definition to come...
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