DR. RYAN WISDOM, DDS
Dentist - General Practice
Active
Individual
NPI: 1528588167
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - General Practice | 1223G0001X | Yes | 059915 (NY) |
Frequently Asked Questions
NPI 1528588167 is the National Provider Identifier for DR. RYAN WISDOM, DDS, a Dentist - General Practice provider located in Middletown, NY. This NPI was enumerated on June 25, 2017.
DR. RYAN WISDOM, DDS practices at 75 DOLSON AVE, Middletown, NY 10940.
Quick Facts
- NPI
- 1528588167
- Type
- Individual
- Enumerated
- Jun 25, 2017
- Last Updated
- Dec 6, 2018
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