Jeffrey Wiswall DDS Ms PC
NPI #1073985982 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1073985982
- Entity Type
- Organization
- Organization Name
- Jeffrey Wiswall DDS Ms PC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Oct 30, 2015
- Last Updated
- Oct 30, 2015
Practice Location
- Address
- 2525 W MAIN ST STE 307
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702-2443
- Phone
- (605) 716-3546
Authorized Official
- Name
- DR. JEFFREY WISWALL, DDS, MS
- Title
- OWNER/OPERATOR
- Phone
- (605) 716-3546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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