Individual
CARLYN M SEBASTIAN-WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3416 COLUMBUS AVE, SANDUSKY, OH 44870-5557
(419) 625-2454
Mailing address
PO BOX 196, HURON, OH 44839-0196
(419) 357-2640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-19569
OH
Other
Enumeration date
05/07/2007
Last updated
08/19/2011
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