RUSSELL CONWELL WISMER

SHAWNEE, KS
NPI1073685152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  ks5745)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
Dr. RUSSELL CONWELL WISMER DDS
6301 PFLUMM RD
SHAWNEE, KS 66216-2468
Phone number: 913-268-7770
Mailing Address
Dr. RUSSELL CONWELL WISMER DDS
6301 PFLUMM RD
SHAWNEE, KS 66216-2468
Phone number: 913-268-7770
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