Wayne Richard Wiley D.D.S.

NPI 1083729750 - Dentist - 1223G0001X

NPI Details
NPI 1083729750
Gender Male
Enumeration Date 08/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6052 ANDREWS RD
MENTOR ON THE LAKE OH, 44060-2854, US
Phone (440) 257-4171
Fax
Business Location
6052 ANDREWS RD
MENTOR ON THE LAKE OH, 44060-2854, US
Phone (440) 257-4171
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Ohio
License Number 12800
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According to our database, Dr. Wayne Richard Wiley D.D.S. NPI is 1083729750, taxonomy code is 1223G0001X and license number is 12800, license state is located at Ohio. Wayne Richard Wiley D.D.S. physically located at 6052 Andrews Rd, Mentor On The Lake OH, 44060-2854. NPI Number Wayne Richard Wiley D.D.S. has the Individual type.

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1083729750 NPI number is provided on an as is basis without warranty of any kind. 1083729750 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Richard Wiley D.D.S. are for informational purposes only.