Individual
DR. JOHN MICHAEL WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
985 RUSSELL AVENUE, GAITHERSBURG, MD 20879
(301) 926-2928
(301) 926-1802
Mailing address
985 RUSSELL AVENUE, GAITHERSBURG, MD 20879
(301) 926-2928
(301) 926-1802
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10885
MD
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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