| NPI | 1407613375 |
|---|---|
| Doing Business As | WISE DECISION |
| Entity Type | Organization |
| Authorized Contact | KIRBY JOHNSON Owner/President 612-834-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |