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1679276026
RYAN WILLIAM WISE
BATON ROUGE, LA
NPI
1679276026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AL D.007187-C1)
Enumeration Date
2023-03-24
Last Update Date
2023-07-09
Business Address
RYAN WILLIAM WISE DDS
9532 GREAT SMOKEY AVE
BATON ROUGE, LA 70814-4103
Phone number: 225-892-4909
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Mailing Address
RYAN WILLIAM WISE DDS
9532 GREAT SMOKEY AVE
BATON ROUGE, LA 70814-4103
Phone number: 225-892-4909
Copy
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