MARIDEL WISEHART

PORTLAND, TX
NPI1114091519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: TX  13559)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
-- MARIDEL WISEHART RDH
213 CEDAR DR #C
PORTLAND, TX 78374
Phone number: 361-643-2522
Mailing Address
-- MARIDEL WISEHART RDH
228 PECOS DR
PORTLAND, TX 78374
Phone number: 361-643-9699
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