DR. Michael James Wisnoski, DDS

NPI #1073708368 in Pearland, Texas

Provider Information

NPI Number: 1073708368
Entity Type: Individual
Name: DR. Michael James Wisnoski, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 10, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 1819 BROADWAY ST STE 105
City: Pearland
State: Texas
ZIP Code: 77581-5671
Phone: (281) 648-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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