| Kristina L. Wiley, Dds, Inc. | |
|
140 N Jackson St Suite 1 Dixon CA 95620-3034 | |
| (707) 678-9248 | |
| (707) 678-9274 |
| Full Name | Kristina L. Wiley, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 140 N Jackson St, Dixon, California |
| Authorized Official Name and Position | Kristina L. Wiley (CEO/ OWNER) |
| Authorized Official Contact | 7076789248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina L. Wiley, Dds, Inc. 140 N Jackson St Suite 1 Dixon CA 95620-3034 Ph: (707) 678-9248 | Kristina L. Wiley, Dds, Inc. 140 N Jackson St Suite 1 Dixon CA 95620-3034 Ph: (707) 678-9248 |
| NPI Number | 1821398587 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821398587 | NPI | - | NPPES |
| G9337301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 41149 (California) | Primary |
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Dixon Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N Lincoln St, Dixon, CA 95620 Phone: 707-678-1657 | |
S. Todd Comm, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N Lincoln St, Suite A, Dixon, CA 95620 Phone: 707-678-9296 Fax: 707-678-9307 | |
Reza Rajabian, Dds, A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1855 N 1st St Unit C, Dixon, CA 95620 Phone: 707-693-6840 Fax: 707-693-1080 | |
Kristina L. Wiley, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N Lincoln St Ste A, Dixon, CA 95620 Phone: 707-678-9248 Fax: 707-678-9274 |