Mark Edward Wiygul D.D.S.

NPI 1427106640 - Dentist - 1223G0001X

NPI Details
NPI 1427106640
Gender Male
Enumeration Date 01/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5340 POPLAR AVE
SUITE 2
MEMPHIS TN, 38119-3516, US
Phone (901) 683-7771
Fax (901) 683-7772
Business Location
5340 POPLAR AVE
SUITE 2
MEMPHIS TN, 38119-3516, US
Phone (901) 683-7771
Fax (901) 683-7772
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number DS4197
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According to our database, Dr. Mark Edward Wiygul D.D.S. NPI is 1427106640, taxonomy code is 1223G0001X and license number is DS4197, license state is located at Tennessee. Mark Edward Wiygul D.D.S. physically located at 5340 Poplar Ave, Memphis TN, 38119-3516. NPI Number Mark Edward Wiygul D.D.S. has the Individual type.

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1427106640 NPI number is provided on an as is basis without warranty of any kind. 1427106640 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Edward Wiygul D.D.S. are for informational purposes only.