RICHARD A WISEMAN

SANTA ROSA, CA
NPI1871752659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  942768993)
Enumeration Date2008-06-05
Last Update Date2008-06-05
Business Address
-- RICHARD A WISEMAN
2321 BETHARDS DR
SANTA ROSA, CA 95405-8536
Phone number: 707-527-9280
Mailing Address
-- RICHARD A WISEMAN
2321 BETHARDS DR
SANTA ROSA, CA 95405-8536
Phone number: 707-527-9280