DR. Todd Samuel Wyse, D.D.S.

NPI #1336264423 in Goshen, Indiana

Provider Information

NPI Number
1336264423
Entity Type
Individual
Name
DR. Todd Samuel Wyse, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
57250 ALPHA DR
City
Goshen
State
Indiana
ZIP Code
46528-7804
Phone
(574) 875-3817

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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