Organization
WISE SLEEP AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL WISE DDS (DENTIST)
(303) 204-4852
Entity
Organization
Contact information
Practice address
7373 W JEFFERSON AVE, LAKEWOOD, CO 80235-2038
(303) 204-4852
Mailing address
7373 W JEFFERSON AVE, LAKEWOOD, CO 80235-2038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
CO809
CO
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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