Individual
DR. WISTAR PAIST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
680 CHESTNUT ST, EMMAUS, PA 18049-2225
(610) 967-1611
Mailing address
680 CHESTNUT ST, EMMAUS, PA 18049-2225
(610) 967-1611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021873L
PA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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