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1871752659
RICHARD A WISEMAN
SANTA ROSA, CA
NPI
1871752659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 942768993)
Enumeration Date
2008-06-05
Last Update Date
2008-06-05
Business Address
-- RICHARD A WISEMAN
2321 BETHARDS DR
SANTA ROSA, CA 95405-8536
Phone number: 707-527-9280
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Mailing Address
-- RICHARD A WISEMAN
2321 BETHARDS DR
SANTA ROSA, CA 95405-8536
Phone number: 707-527-9280
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