CAROL WIESE, DDS

Dentist - Pediatric Dentistry

Active Individual
NPI: 1215374335

Practice Address

700 SHERIDAN LAKE RD.
Rapid City, SD 57702

Phone: (605) 721-6634

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 2901020964 (MI)
Dentist - Pediatric Dentistry 1223P0221X Yes D1361 (SD)

Frequently Asked Questions

NPI 1215374335 is the National Provider Identifier for CAROL WIESE, DDS, a Dentist - Pediatric Dentistry provider located in Rapid City, SD. This NPI was enumerated on May 30, 2013.
CAROL WIESE, DDS practices at 700 SHERIDAN LAKE RD., Rapid City, SD 57702.

Quick Facts

NPI
1215374335
Type
Individual
Enumerated
May 30, 2013
Last Updated
Sep 21, 2022

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