Individual
DR. KRISTIE LEA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 W 12TH AVE STE 2196, COLUMBUS, OH 43210-1267
(614) 292-0443
Mailing address
720 W 3RD AVE APT 210, COLUMBUS, OH 43212-3157
(865) 804-8902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
004814
OH
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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