Individual
DR. DOUGLAS KYLE WISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7313 WATSON RD, SAINT LOUIS, MO 63119-4405
(314) 352-3886
Mailing address
1462 SPROULE AVE, SAINT LOUIS, MO 63139-3107
(309) 706-3571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018022475
MO
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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