Organization
C. MICHAEL WISE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MICHAEL WISE DDS (PRESIDENT)
(501) 268-8634
Entity
Organization
Contact information
Practice address
333 E MARKET AVE, SEARCY, AR 72143-5429
(501) 268-8634
Mailing address
333 E MARKET AVE, SEARCY, AR 72143-5429
(501) 268-8634
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2687
AR
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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