Paul B. Wiegand D.d.s., M.s.d.,pa | |
14801 San Pedro Ave San Antonio TX 78232-3708 | |
(210) 495-5437 | |
(210) 495-3434 |
Full Name | Paul B. Wiegand D.d.s., M.s.d.,pa |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 14801 San Pedro Ave, San Antonio, Texas |
Authorized Official Name and Position | Paul B Wiegand (OWNER/DENTIST) |
Authorized Official Contact | 2104955437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Paul B. Wiegand D.d.s., M.s.d.,pa 14801 San Pedro Ave San Antonio TX 78232-3708 Ph: (210) 495-5437 | Paul B. Wiegand D.d.s., M.s.d.,pa 14801 San Pedro Ave San Antonio TX 78232-3708 Ph: (210) 495-5437 |
NPI Number | 1871725739 |
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Provider Enumeration Date | 08/11/2009 |
Last Update Date | 08/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871725739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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