Individual
LAURIE ISETT WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
622 SOUTH MAIN STREET, RED LION, PA 17356
(717) 244-8537
(717) 244-6711
Mailing address
622 SOUTH MAIN STREET, RED LION, PA 17356
(717) 244-8537
(717) 244-6711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026324L
PA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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