Organization
WISDOME STAFF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEIKA BUMBURY (OWNER)
(646) 203-9484
Entity
Organization
Contact information
Practice address
185 20TH ST APT 8, BROOKLYN, NY 11232-4416
(646) 203-9484
Mailing address
185 20TH ST APT 8, BROOKLYN, NY 11232-4416
(646) 203-9484
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
125K00000X
Advanced Practice Dental Therapist
—
—
174400000X
Specialist
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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