| John R. Wiens Dds, Inc. | |
|
615 N I St Madera CA 93637-3075 | |
| (559) 673-8044 | |
| (559) 673-5447 |
| Full Name | John R. Wiens Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 615 N I St, Madera, California |
| Authorized Official Name and Position | John Wiens (PRESIDENT) |
| Authorized Official Contact | 5599061984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John R. Wiens Dds, Inc. 615 N I St Madera CA 93637-3075 Ph: (559) 673-8044 | John R. Wiens Dds, Inc. 615 N I St Madera CA 93637-3075 Ph: (559) 673-8044 |
| NPI Number | 1174929632 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174929632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 62455 (California) | Primary |
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