DR. Philip C Wisniewski, DDS, FAGD, PC

NPI #1386788610 in Holland, Michigan

Provider Information

NPI Number
1386788610
Entity Type
Individual
Name
DR. Philip C Wisniewski, DDS, FAGD, PC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS, FAGD, PC
Enumeration Date
Feb 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
291 W LAKEWOOD BLVD
ZIP Code
49424-1969
Phone
(616) 396-9583

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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