LARRY A WISE

KENNER, LA
NPI1124111935
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  2777)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Dr. LARRY A WISE D.D.S.
909 W ESPLANADE AVE SUITE 101
KENNER, LA 70065-2700
Phone number: 504-464-0202
Mailing Address
Dr. LARRY A WISE D.D.S.
909 W ESPLANADE AVE SUITE 101
KENNER, LA 70065-2700
Phone number: 504-464-0202