Whalio Doctors

NPI 1083117493

Wise Sleep and Wellness LLC

Organisation Customized Equipment (DME) Lakewood, CO

Practice location

Address
7373 W Jefferson Ave, Lakewood, CO 80235-2038
Phone
(303) 204-4852

Authorised official

Name
Randall Wise
Title
Dentist
Phone
(303) 204-4852

Registered specialties (2)

Customized Equipment (DME) Primary
Suppliers Taxonomy 332BC3200X
Dentist
Dental Providers Taxonomy 122300000X Licence CO809 (CO)

Registry record

NPI
1083117493
Entity type
Organization
NPI issued
12 Mar 2018
Record last updated
12 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.