Individual provider · Type 1 NPI
James R. Wise, DDSMS
Orthodontics and Dentofacial Orthopedics Dentistry · Calimesa, CA
Practice location
1025 Calimesa Blvd, Ste. 2
Calimesa, CA 92320-1146
Fax (909) 795-7599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 19476 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
2 other providers at this address
About NPI 1609909308
James R. Wise, DDSMS's National Provider Identifier is 1609909308, issued on Mar 13, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Calimesa, CA. The record was last updated on Jul 8, 2007.