Organization
WISE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL S. WISE D.D.S. (PRESIDENT)
(303) 985-1263
Entity
Organization
Contact information
Practice address
7373 W JEFFERSON AVE, #305, LAKEWOOD, CO 80235-2038
(303) 985-1263
(303) 985-1659
Mailing address
7373 W. JEFFERSON AVE, #305, LAKEWOOD, CO 80235
(303) 985-1263
(303) 985-1659
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
809
CO
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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