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1750011888
DANA MARIE WISSEMAN
SALEM, OR
NPI
1750011888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D11619)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
Dr. DANA MARIE WISSEMAN DDS
2045 MADRONA AVE SE # 150
SALEM, OR 97302-1149
Phone number: 503-809-4784
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Mailing Address
Dr. DANA MARIE WISSEMAN DDS
3490 NW DEER RUN ST
CORVALLIS, OR 97330-3111
Phone number: 541-740-7576
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