Chad W Wise D.D.S.

NPI 1881760148 - Dentist - 1223G0001X

NPI Details
NPI 1881760148
Gender Male
Enumeration Date 11/28/2006
Last Updated 06/24/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
99 DEBARTOLO PL
BOARDMAN OH, 44512-7014, US
Phone (330) 758-2348
Fax (330) 758-0481
Business Location
99 DEBARTOLO PL
BOARDMAN OH, 44512-7014, US
Phone (330) 758-2348
Fax (330) 758-0481
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number 031655
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According to our database, Dr. Chad W Wise D.D.S. NPI is 1881760148, taxonomy code is 1223G0001X and license number is 031655, license state is located at Pennsylvania. Chad W Wise D.D.S. physically located at 99 Debartolo Pl, Boardman OH, 44512-7014. NPI Number Chad W Wise D.D.S. has the Individual type.

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1881760148 NPI number is provided on an as is basis without warranty of any kind. 1881760148 is maintained by the National Plan & Provider Enumeration System. The contents of Chad W Wise D.D.S. are for informational purposes only.