DAVID DOUGLAS WYSE

BLOOMINGTON, IL
NPI1669506234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019024610)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
Dr. DAVID DOUGLAS WYSE D.D.S.
207 S PROSPECT RD STE. 2
BLOOMINGTON, IL 61704-4905
Phone number: 309-663-6393
Mailing Address
Dr. DAVID DOUGLAS WYSE D.D.S.
207 S PROSPECT RD STE. 2
BLOOMINGTON, IL 61704-4905
Phone number: 309-663-6393
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