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David Wyse, D.D.S
NPI 1669506234 · on the registry since 2007
Practice
- Address
- 207 S Prospect Rd
Ste. 2
Bloomington, IL 61704 - Phone
- (309) 663-6393
- Fax
- (309) 664-0366
- Organisation at this address
- David D. Wyse, D.D.S., P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois