Individual
DR. ADRIAN JACK WISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
105 WOODCREST DR, RIFTON, NY 12471-7200
(917) 580-2836
Mailing address
101 WOODCREST DR, RIFTON, NY 12471-7200
(917) 580-2836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062813
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2021
Last updated
04/20/2023
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