| Kristina L. Wiley, Dds, Inc. | |
|
805 N Lincoln St Ste A Dixon CA 95620-2172 | |
| (707) 678-9248 | |
| (707) 678-9274 |
| Full Name | Kristina L. Wiley, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 805 N Lincoln St Ste A, Dixon, California |
| Authorized Official Name and Position | Kristina Linde Wiley (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. 805 N. Lincoln St Suite A Dixon CA 95620 Ph: (707) 678-9248 | Kristina L. Wiley, Dds, Inc. 805 N Lincoln St Ste A Dixon CA 95620-2172 Ph: (707) 678-9248 |
| NPI Number | 1922276591 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922276591 | NPI | - | NPPES |
| G9337301 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D41149 (California) | Primary |
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G Sekhon, A Pc 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: 140 N Jackson St, Suite 1, Dixon, CA 95620 Phone: 707-678-9248 Fax: 707-678-9274 |