Individual
DR. NANCY LEE PROANO WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11120 SW 88TH ST, SUITE 107, MIAMI, FL 33176-0941
(786) 360-1048
Mailing address
11120 SW 88TH ST, SUITE 107, MIAMI, FL 33176-0941
(786) 360-1048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN 17971
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN17971
FL
Other
Enumeration date
06/20/2008
Last updated
01/21/2017
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