Individual
DR. ANDREW R. WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2540 SISTER MARY COLUMBA DR, RED BLUFF, CA 96080-4327
(530) 690-2778
(530) 690-2229
Mailing address
2514 WARM SPRING LN, REDDING, CA 96003-6606
(530) 339-6750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45790
CA
Other
Enumeration date
06/09/2008
Last updated
10/14/2020
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