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Individual
DR. JOSE GUSTAVO WISCOVITCH
Active
Individual
DR. JOSE GUSTAVO WISCOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1385
PR
1223P0106X
Oral and Maxillofacial Pathology Dentistry
1385
PR
Other
Enumeration date
10/07/2005
Last updated
06/04/2013
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