MARIDEL WISEHART, RDH

Dental Hygienist

Active Individual
NPI: 1114091519

Practice Address

213 CEDAR DR #C
Portland, TX 78374

Phone: (361) 643-2522

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes 13559 (TX)

Frequently Asked Questions

NPI 1114091519 is the National Provider Identifier for MARIDEL WISEHART, RDH, a Dental Hygienist provider located in Portland, TX. This NPI was enumerated on November 17, 2006.
MARIDEL WISEHART, RDH practices at 213 CEDAR DR #C, Portland, TX 78374.

Quick Facts

NPI
1114091519
Type
Individual
Enumerated
Nov 17, 2006
Last Updated
Jul 8, 2007

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