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1124111935
LARRY A WISE
KENNER, LA
NPI
1124111935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 2777)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. LARRY A WISE D.D.S.
909 W ESPLANADE AVE SUITE 101
KENNER, LA 70065-2700
Phone number: 504-464-0202
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Mailing Address
Dr. LARRY A WISE D.D.S.
909 W ESPLANADE AVE SUITE 101
KENNER, LA 70065-2700
Phone number: 504-464-0202
Copy
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