Heather Hood Wise D.M.D

NPI 1053439554 - Dentist - 1223G0001X

NPI Details
NPI 1053439554
Gender Female
Enumeration Date 03/26/2007
Last Updated 04/29/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
105 MEDICAL PARK DR
SUITE #1
CAMPBELLSVILLE KY, 42718-9622, US
Phone (270) 469-1403
Fax (270) 469-1405
Business Location
105 MEDICAL PARK DR
SUITE #1
CAMPBELLSVILLE KY, 42718-9622, US
Phone (270) 469-1403
Fax (270) 469-1405
Toxanomy
Taxonomy Code 1223G0001X
License State Kentucky
License Number 8254
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According to our database, Dr. Heather Hood Wise D.M.D NPI is 1053439554, taxonomy code is 1223G0001X and license number is 8254, license state is located at Kentucky. Heather Hood Wise D.M.D physically located at 105 Medical Park Dr, Campbellsville KY, 42718-9622. NPI Number Heather Hood Wise D.M.D has the Individual type.

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1053439554 NPI number is provided on an as is basis without warranty of any kind. 1053439554 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Hood Wise D.M.D are for informational purposes only.