Brad Wisowaty DDS LLC
NPI #1609565910 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1609565910
- Entity Type
- Organization
- Organization Name
- Brad Wisowaty DDS LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 3, 2023
- Last Updated
- May 3, 2023
Practice Location
- Address
- 1302 VALE PARK RD
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-2722
- Phone
- (219) 462-0780
Authorized Official
- Name
- BRAD WISOWATY, DDS
- Title
- MEMBER
- Phone
- (708) 945-5405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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