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NPI 1134425507 · live from the CMS NPI Registry

Matthew R Wirig, DMD, PC

Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1134425507, active.

NPI record

NPI1134425507 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location4610 Meadows Ln Ste A, Las Vegas, NV 89107
Practice phone702-482-8299
EnumeratedFebruary 2, 2011
Last updatedFebruary 2, 2011
Authorized officialMatthew Wirig, Orthodontist

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400Xs3-175 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.