DAVID D. WYSE, D.D.S., P.C

NPI: 1124143896 · Organization · Active

Primary Specialty

Dental Clinic/Center
Clinic/Center — Dental

Practice Location

207 S PROSPECT RD
STE. 2
BLOOMINGTON, IL 61704-4905 Map ↗
Phone: 309-663-6393
Fax: 309-664-0366

All Specialties & Licenses

  • Dental Clinic/Center Primary — Dental (license: 060001892, IL)

NPI Registration

Enumerated: 2007-03-20

Last CMS Update: 2013-10-03