Charles Wiseman, D.D.S.
NPI #1033536800 in Santa Monica, California
Provider Information
- NPI Number
- 1033536800
- Entity Type
- Individual
- Name
- Charles Wiseman, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Mar 18, 2014
- Last Updated
- Feb 18, 2021
Practice Location
- Address
- 2509 PICO BLVD
- City
- Santa Monica
- State
- California
- ZIP Code
- 90405-1828
- Phone
- (310) 392-8636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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