Individual
MRS. KIRSTEN ANN WISNIAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
60000 HIGHWAY 98, PENSACOLA, FL 32512-5136
(850) 452-5660
Mailing address
760 EAST AVE, BLDG 3911, PENSACOLA, FL 32508-5136
(850) 452-8970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52413
CA
Other
Enumeration date
01/18/2006
Last updated
05/06/2024
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