DR. Russell Conwell Wismer, DDS

NPI #1073685152 in Shawnee, Kansas

Provider Information

NPI Number
1073685152
Entity Type
Individual
Name
DR. Russell Conwell Wismer, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6301 PFLUMM RD
State
Kansas
ZIP Code
66216-2468
Phone
(913) 268-7770

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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