Individual provider · Type 1 NPI

Richard A. Wiseman

General Practice Dentistry · Santa Rosa, CA

NPI number 1871752659 Active

About NPI 1871752659

Richard A. Wiseman's National Provider Identifier is 1871752659, issued on Jun 5, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 5, 2008.