Individual
DR. HEATHER HOOD WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
105 MEDICAL PARK DR, SUITE #1, CAMPBELLSVILLE, KY 42718-9622
(270) 469-1403
(270) 469-1405
Mailing address
105 MEDICAL PARK DR, SUITE #1, CAMPBELLSVILLE, KY 42718-9622
(270) 469-1403
(270) 469-1405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8254
KY
1223P0221X
Pediatric Dentistry
Primary
8254
KY
Other
Enumeration date
03/26/2007
Last updated
04/29/2008
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