DAVID D. WYSE, D.D.S., P.C.

BLOOMINGTON, IL
NPI1124143896
Entity TypeOrganization
Authorized ContactDAVID D. WYSE
Owner
309-663-6393
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IL  060001892)
Enumeration Date2007-03-20
Last Update Date2013-10-03
Business Address
DAVID D. WYSE, D.D.S., P.C.
207 S PROSPECT RD STE. 2
BLOOMINGTON, IL 61704-4905
Phone number: 309-663-6393
Mailing Address
DAVID D. WYSE, D.D.S., P.C.
207 S PROSPECT RD STE. 2
BLOOMINGTON, IL 61704-4905
Phone number: 309-663-6393
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