Individual
DR. KRISTIN TERA WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9920 COULOAK DR, #100, CHARLOTTE, NC 28216-8925
(704) 392-7676
Mailing address
9920 COULOAK DR, #100, CHARLOTTE, NC 28216-8925
(704) 392-7676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10400
CO
1223G0001X
General Practice Dentistry
Primary
8312
NC
Other
Enumeration date
11/08/2006
Last updated
07/18/2012
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