Organization
WISENER & COOPER, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF S. WISENER D.D.S. (OWNER)
(479) 636-7100
Entity
Organization
Contact information
Practice address
1003 HORSEBARN RD, ROGERS, AR 72758-8184
(479) 621-6766
Mailing address
1003 HORSEBARN RD, ROGERS, AR 72758-8184
(479) 621-6766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3226
AR
Other
Enumeration date
07/10/2007
Last updated
10/01/2009
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