Eric J. Wisdom D.d.s., P.a.

NPI #1861418469 in Manhattan, Kansas

Provider Information

NPI Number: 1861418469
Entity Type: Organization
Organization Name: Eric J. Wisdom D.d.s., P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 15, 2006
Last Updated: Nov 29, 2012

Practice Location

Address: 1629 POYNTZ AVE
City: Manhattan
State: Kansas
ZIP Code: 66502-4148
Phone: (785) 776-1771

Authorized Official

Name: ERIC J WISDOM, DDS
Title: OWNER
Phone: (785) 776-1771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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