Michael James Wisnoski DDS

NPI 1073708368 - Dentist - 1223G0001X

NPI Details
NPI 1073708368
Gender Male
Enumeration Date 09/10/2007
Last Updated 09/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1819 BROADWAY ST STE 105
PEARLAND TX, 77581-5671, US
Phone (281) 648-4000
Fax (281) 648-4001
Business Location
1819 BROADWAY ST STE 105
PEARLAND TX, 77581-5671, US
Phone (281) 648-4000
Fax (281) 648-4001
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 19057
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According to our database, Dr. Michael James Wisnoski DDS NPI is 1073708368, taxonomy code is 1223G0001X and license number is 19057, license state is located at Texas. Michael James Wisnoski DDS physically located at 1819 Broadway St Ste 105, Pearland TX, 77581-5671. NPI Number Michael James Wisnoski DDS has the Individual type.

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1073708368 NPI number is provided on an as is basis without warranty of any kind. 1073708368 is maintained by the National Plan & Provider Enumeration System. The contents of Michael James Wisnoski DDS are for informational purposes only.