Individual
DR. ENRIQUE GABRIEL WISMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7600 N 15TH ST STE 170, PHOENIX, AZ 85020-4305
(602) 997-0911
Mailing address
7600 N 15TH ST STE 170, PHOENIX, AZ 85020-4305
(602) 997-0911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6905
AZ
Other
Enumeration date
12/13/2006
Last updated
04/09/2008
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