Individual
GREGORY PAUL WYSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
601 E WALNUT ST, FRANKFORT, IN 46041-2562
(765) 659-4977
Mailing address
601 E WALNUT ST, FRANKFORT, IN 46041-2562
(765) 659-4977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IN7541
IN
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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