DR. Charles Leonard Wise, D.D.S.
NPI #1770668840 in Morgan City, Louisiana
Provider Information
- NPI Number
- 1770668840
- Entity Type
- Individual
- Name
- DR. Charles Leonard Wise, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1200 VICTOR II BLVD
- City
- Morgan City
- State
- Louisiana
- ZIP Code
- 70380-1350
- Phone
- (985) 384-0926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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