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Organization
SANTA ROSA BCH DENTAL
Active
Organization
SANTA ROSA BCH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER E WIEHE DMD (DENTIST OWNER)
(850) 267-0777
Entity
Organization
Contact information
Practice address
4942 HWY 98 W #19, SANTA ROSA BCH, FL 32459
(850) 267-0777
(850) 267-3310
Mailing address
4942 HWY 98 W #19, SANTA ROSA BCH, FL 32459
(850) 267-0777
(850) 267-3310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15518
FL
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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