DR. THOMAS WIEDEMANN, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1790782399
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 13165 (MO) |
Frequently Asked Questions
NPI 1790782399 is the National Provider Identifier for DR. THOMAS WIEDEMANN, D.D.S., a Dentist - General Practice provider located in Saint Louis, MO. This NPI was enumerated on June 28, 2005.
DR. THOMAS WIEDEMANN, D.D.S. practices at 3707 WATSON RD, Saint Louis, MO 63109.
Quick Facts
- NPI
- 1790782399
- Type
- Individual
- Enumerated
- Jun 28, 2005
- Last Updated
- Jul 8, 2007
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