SIDNEY WISDOM, DDS MS
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1376647487
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 33877 (CA) |
| Dentist | 122300000X | No | 33877 (CA) |
Frequently Asked Questions
NPI 1376647487 is the National Provider Identifier for SIDNEY WISDOM, DDS MS, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Roseville, CA. This NPI was enumerated on September 11, 2006.
SIDNEY WISDOM, DDS MS practices at 2350 PROFESSIONAL DR, SUITE 300, Roseville, CA 95661.
Quick Facts
- NPI
- 1376647487
- Type
- Individual
- Enumerated
- Sep 11, 2006
- Last Updated
- Sep 28, 2021
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