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Organization
WESLEY C. WISE, DDS & ASSOCIATES, LTD
Active
Organization
WESLEY C. WISE, DDS & ASSOCIATES, LTD
Active
Other names
M.E. Brundage, DDS & W. C. Wise DDS, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
MICKIE KERR (OFFICE MANAGER)
(708) 524-0330
Entity
Organization
Contact information
Practice address
137 N OAK PARK AVE STE 202, OAK PARK, IL 60301-1340
(708) 524-0330
(708) 524-0136
Mailing address
137 N OAK PARK AVE, SUITE 202, OAK PARK, IL 60301-1344
(708) 524-0330
(708) 524-0136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019013316
IL
Other
Enumeration date
03/28/2007
Last updated
05/10/2017
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