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Organization

WISEMAN ENDODONTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN CHRISTOPHER PEDURAND (PRACTICE ADMINISTRATOR)
(760) 277-7877
Entity
Organization

Contact information

Practice address
5110 W 26TH ST, SIOUX FALLS, SD 57106-3520
(605) 205-1055
Mailing address
5110 W 26TH ST, SIOUX FALLS, SD 57106-3520
(605) 205-1055

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
10/09/2020
Last updated
10/09/2020
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