Wise, Larry A

Wise, Larry A is an sole proprietor health care provider with primary practice located at 909 W Esplanade Ave Suite 101, Kenner LA 70065-2700. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wise, Larry A can be contacted via phone (504) 464-0202.

Contact Information

Primary practice address
909 W Esplanade Ave Suite 101 Kenner LA 70065-2700
Phone: (504) 464-0202
Fax: (504) 464-0264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2777 Louisiana

Profile Details

NPI number 1124111935
LBN Legal business name Wise, Larry A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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