James R Wise DDSMS

NPI 1609909308 - Dentist - 1223X0400X

NPI Details
NPI 1609909308
Gender Male
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1025 CALIMESA BLVD
STE. 2
CALIMESA CA, 92320-1146, US
Phone (909) 795-9707
Fax (909) 795-7599
Business Location
1025 CALIMESA BLVD
STE. 2
CALIMESA CA, 92320-1146, US
Phone (909) 795-9707
Fax (909) 795-7599
Toxanomy
Taxonomy Code 1223X0400X
License State California
License Number 19476
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According to our database, Dr. James R Wise DDSMS NPI is 1609909308, taxonomy code is 1223X0400X and license number is 19476, license state is located at California. James R Wise DDSMS physically located at 1025 Calimesa Blvd, Calimesa CA, 92320-1146. NPI Number James R Wise DDSMS has the Individual type.

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1609909308 NPI number is provided on an as is basis without warranty of any kind. 1609909308 is maintained by the National Plan & Provider Enumeration System. The contents of James R Wise DDSMS are for informational purposes only.