Individual provider · Type 1 NPI

Stella Wisner, DDS

Dentist · San Pedro, CA

NPI number 1972796324 Active

Practice location

1001 S Seaside Ave
San Pedro, CA 90731-7333

Fax (310) 732-7519

Mailing address

1717 W Cowles St
Fairbanks, AK 99701-5926

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X54571 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1972796324

Stella Wisner, DDS's National Provider Identifier is 1972796324, issued on Aug 20, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Pedro, CA. The record was last updated on Mar 11, 2015.