NPI | 1689637068 |
---|---|
Doing Business As | ANDREW R WISE DDS INC |
Entity Type | Organization |
Authorized Contact | ANDREW R WISE Owner President 707-447-8289 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45790) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2020-08-22 |