Organization
RAYMOND J WISE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND JOHN WISE D.D.S (DENTIST/OWNER)
(413) 243-1222
Entity
Organization
Contact information
Practice address
31 PARK PLZ, LEE, MA 01238-1727
(413) 243-1222
(413) 243-3915
Mailing address
31 PARK PLZ, LEE, MA 01238-1727
(413) 243-1222
(413) 243-3915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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