Individual
JOHN B WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6960 PARKWOOD BLVD, #100, FRISCO, TX 75034
(972) 712-6862
(972) 377-9559
Mailing address
6960 PARKWOOD BLVD, #100, FRISCO, TX 75034
(972) 712-6862
(972) 377-9559
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15549TX
TX
Other
Enumeration date
04/23/2007
Last updated
08/13/2007
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