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Dr. Mark Joseph Wiesen, DDS
Periodontist in San Francisco, California
NPI 1649311440

Mark Joseph Wiesen is a Periodontist based in San Francisco, CA and is specialized in Periodontics. Mark Joseph Wiesen practices in San Francisco, CA and has the professional credentials of DDS. The NPI Number for Mark Joseph Wiesen is 1649311440 and holds a License No. 44640 (California).

The current practice location address for Mark Joseph Wiesen is 450 Sutter St, San Francisco, CA and can be reached out via phone at 415-989-0550 and via fax at 415-989-0554.

Location: 450 Sutter St, San Francisco, CA, 94108-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649311440
Provider Name
Mark Joseph Wiesen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
450 Sutter St, San Francisco, CA, 94108-4206
Phone Number
415-989-0550
Fax Number
415-989-0554
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
450 Sutter St
City
San Francisco
State
California
Zip
94108-4206
Phone Number
415-989-0550
Fax Number
415-989-0554
person
Provider Business Mailing Address Details
Address
450 Sutter St
City
San Francisco
State
California
Zip
94108-4206
Phone Number
415-989-0550
Fax Number
415-989-0554
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
44640 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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