Individual
F. HERBERT WISWALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
600 4TH ST NE, WATERTOWN, SD 57201-1898
(605) 886-8096
(605) 886-1979
Mailing address
600 4TH ST NE, WATERTOWN, SD 57201-1898
(605) 886-8096
(605) 886-1979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M-368
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7800510
—
SD
Enumeration date
12/15/2005
Last updated
07/08/2007
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