DR. Chad W Wise, D.D.S.

NPI #1881760148 in Boardman, Ohio

Provider Information

NPI Number: 1881760148
Entity Type: Individual
Name: DR. Chad W Wise, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 28, 2006
Last Updated: Jun 24, 2009

Practice Location

Address: 99 DEBARTOLO PL
City: Boardman
State: Ohio
ZIP Code: 44512-7014
Phone: (330) 758-2348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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