MR. Dixon J Wise, D.M.D.

NPI #1265719959 in Laurel, Mississippi

Provider Information

NPI Number: 1265719959
Entity Type: Individual
Name: MR. Dixon J Wise, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Nov 8, 2011
Last Updated: Feb 8, 2017

Practice Location

Address: 117 S 11TH AVE
City: Laurel
State: Mississippi
ZIP Code: 39440-4312
Phone: (601) 425-3033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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