MRS. Amanda Kay Wiseman, DA

NPI #1568542868 in Indianapolis, Indiana

Provider Information

NPI Number: 1568542868
Entity Type: Individual
Name: MRS. Amanda Kay Wiseman, DA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: DA
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9443 E 38TH ST
Address 2: DENTAL CLINIC
City: Indianapolis
State: Indiana
ZIP Code: 46235-2132
Phone: (317) 890-2131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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