JEFFREY HERBERT WISWALL

RAPID CITY, SD
NPI1063592160
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: SD  M967)
Enumeration Date2006-10-16
Last Update Date2011-03-03
Business Address
-- JEFFREY HERBERT WISWALL D.D.S., M.S.
2525 W MAIN ST STE 307
RAPID CITY, SD 57702-2443
Phone number: 605-716-3546
Mailing Address
-- JEFFREY HERBERT WISWALL D.D.S., M.S.
2525 W MAIN ST STE 307
RAPID CITY, SD 57702-2443
Phone number: 605-716-3546
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