BRAD WISOWATY DDS LLC

VALPARAISO, IN
NPI1609565910
Entity TypeOrganization
Authorized ContactBRAD WISOWATY
Member
708-945-5405
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2023-05-03
Last Update Date2023-05-03
Business Address
BRAD WISOWATY DDS LLC
1302 VALE PARK RD
VALPARAISO, IN 46383-2722
Phone number: 219-462-0780
Mailing Address
BRAD WISOWATY DDS LLC
1302 VALE PARK RD
VALPARAISO, IN 46383-2722
Phone number:
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