Organization
F. HERBERT WISWALL, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. F. HERBERT WISWALL D.D.S. (OWNER)
(605) 886-8096
Entity
Organization
Contact information
Practice address
600 4TH ST NE STE 201, WATERTOWN, SD 57201-1898
(605) 886-8096
(605) 886-1979
Mailing address
600 4TH ST NE STE 201, WATERTOWN, SD 57201-1898
(605) 886-8096
(605) 886-1979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M368
SD
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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