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1770668840
CHARLES LEONARD WISE
MORGAN CITY, LA
NPI
1770668840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 1671)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Dr. CHARLES LEONARD WISE D.D.S.
1200 VICTOR II BLVD
MORGAN CITY, LA 70380-1350
Phone number: 985-384-0926
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Mailing Address
Dr. CHARLES LEONARD WISE D.D.S.
PO BOX 1910
MORGAN CITY, LA 70381-1910
Phone number: 985-384-0926
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