DR. Larry Earl Wise, DMD

NPI #1093893042 in Vandergrift, Pennsylvania

Provider Information

NPI Number
1093893042
Entity Type
Individual
Name
DR. Larry Earl Wise, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Nov 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
120 FARRAGUT AVENUE
ZIP Code
15690-0365
Phone
(724) 568-2606

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