Individual
DR. RICHARD JOSEPH LUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5 COMMON ST, WAKEFIELD, MA 01880-2303
(781) 245-7000
Mailing address
5 COMMON ST, WAKEFIELD, MA 01880
(781) 245-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15484
MA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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