Justin Bradley Wise, DMD

NPI #1902417454 in Lawrenceburg, Indiana

Provider Information

NPI Number: 1902417454
Entity Type: Individual
Name: Justin Bradley Wise, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 10, 2020
Last Updated: Aug 10, 2020

Practice Location

Address: 1019 W EADS PKWY
City: Lawrenceburg
State: Indiana
ZIP Code: 47025-1162
Phone: (812) 496-5828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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