DR. Wayne R Chisholm, D.D.S.

NPI #1316118284 in Monroe, Utah

Provider Information

NPI Number
1316118284
Entity Type
Individual
Name
DR. Wayne R Chisholm, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 18, 2008
Last Updated
Mar 18, 2008

Practice Location

Address
30 SOUTH MAIN STREET
City
Monroe
State
Utah
ZIP Code
84754
Phone
(435) 527-3555

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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