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DR. SUSAN JEAN BUCK-WISCHMEIER DDS

Dental Providers Dentist

Provider NPI: 1184729667

Provider Information:
DR. SUSAN JEAN BUCK-WISCHMEIER DDS
Gender: F
Not Sole Proprietor

Practice Location:
COMDT US COAST GUARD 2100 2ND ST. SW SUITE 5314 WASHINGTON, DC 20593-0001 US
Tel: 808-842-2930  Fax: --

Business Mailing Address:
44-123 MIKIOLA DR  KANEOHE, HI 96744-2437 US
Tel: 808-235-7743  Fax: --

NPI Information:
NPI: 1184729667
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
FLDN15377
Y122300000XDental Providers
Dentist
MND11054

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 122300000X

Type:

Classification:



Definition:



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