Individual
DR. JOLENE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
43 COVENTRY RDG, SOUTH CHARLESTON, WV 25309-9541
(304) 746-0020
Mailing address
PO BOX 58304, CHARLESTON, WV 25358-0304
(304) 767-1367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3387
WV
Other
Enumeration date
06/03/2008
Last updated
06/08/2016
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