JEREMY C WIGGINS

LEWISTON, ID
NPI1912916461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist Pediatric Dentistry
(Licence: ID  D-3494)
Enumeration Date2006-08-05
Last Update Date2010-12-02
Business Address
JEREMY C WIGGINS DDS
3326 4TH ST STE 4
LEWISTON, ID 83501-4455
Phone number: 208-743-2505
Mailing Address
JEREMY C WIGGINS DDS
3326 4TH ST STE 4
LEWISTON, ID 83501-4455
Phone number: 208-743-2505
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