Individual
DR. ELENA A WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7101 HOFF ST BLDG 9240, FORT BENNING, GA 31905-5645
(706) 544-2051
Mailing address
7101 HOFF ST BLDG 9240, FORT BENNING, GA 31905-5645
(706) 544-2051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013160A
IN
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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