institution
Thomas R. Wiedemann, Dds,pc
Dental Clinic/Center in Saint Louis, Missouri
NPI 1245390798

Thomas R. Wiedemann, Dds,pc is a Dental Clinic/Center based in Saint Louis, MO and is specialized in Dental. Thomas R. Wiedemann, Dds,pc practices in Saint Louis, MO. The NPI Number for Thomas R. Wiedemann, Dds,pc is 1245390798 and holds a License No. 13165 (Missouri).

The current practice location address for Thomas R. Wiedemann, Dds,pc is 3707 Watson Rd, Saint Louis, MO and can be reached out via phone at 314-645-6400.

Location: 3707 Watson Rd, Saint Louis, MO, 63109-1236
institution
Provider Profile Details
NPI Number
1245390798
Provider Name
Thomas R. Wiedemann, Dds,pc
Credential
Provider Entity Type
Organization
Address
3707 Watson Rd, Saint Louis, MO, 63109-1236
Phone Number
314-645-6400
Fax Number
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3707 Watson Rd
City
State
Zip
63109-1236
Phone Number
314-645-6400
Fax Number
person
Provider Business Mailing Address Details
Address
3707 Watson Rd
City
State
Zip
63109-1236
Phone Number
314-645-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
13165 (Missouri)
Definition
Definition to come...
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