Wise Dentistry for Kids, Psc

NPI #1790075166 in Campbellsville, Kentucky

Provider Information

NPI Number
1790075166
Entity Type
Organization
Organization Name
Wise Dentistry for Kids, Psc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Apr 19, 2011
Last Updated
Apr 19, 2011

Practice Location

Address
105 MEDICAL PARK DR
Address 2
SUITE 1
ZIP Code
42718-9622
Phone
(270) 469-1403

Authorized Official

Name
DR. HEATHER WISE, DMD
Title
OWNER/DENTIST
Phone
(270) 469-1403

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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