German Wise Dental LLC
NPI #1518520170 in Longview, Washington
Provider Information
- NPI Number
- 1518520170
- Entity Type
- Organization
- Organization Name
- German Wise Dental LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 19, 2019
- Last Updated
- Dec 16, 2021
Practice Location
- Address
- 1538 11TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-4123
- Phone
- (360) 636-3400
Authorized Official
- Name
- DR. SAM WISE, DDS, MOM, MSC, MDS.
- Title
- OWNER
- Phone
- (360) 636-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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