Individual
ERIK MARK TREMAN WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
719 MAIN AVE, BROOKINGS, SD 57006-1426
(605) 692-9555
(605) 692-0967
Mailing address
719 MAIN AVE, BROOKINGS, SD 57006-1426
(605) 692-9555
(605) 692-0967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0624
SD
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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