| F. Herbert Wiswall, D.D.S., P.C. | |
|
600 4th St Ne Ste 201 Watertown SD 57201-1898 | |
| (605) 886-8096 | |
| (605) 886-1979 |
| Full Name | F. Herbert Wiswall, D.D.S., P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 4th St Ne Ste 201, Watertown, South Dakota |
| Authorized Official Name and Position | F. Herbert Wiswall (OWNER) |
| Authorized Official Contact | 6058868096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| F. Herbert Wiswall, D.D.S., P.C. 600 4th St Ne Ste 201 Watertown SD 57201-1898 Ph: (605) 886-8096 | F. Herbert Wiswall, D.D.S., P.C. 600 4th St Ne Ste 201 Watertown SD 57201-1898 Ph: (605) 886-8096 |
| NPI Number | 1205959665 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205959665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | M368 (South Dakota) | Primary |
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