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Individual

DR. TATE LOTT VIEHWEG

Active
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Individual

DR. TATE LOTT VIEHWEG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5134
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE00010382
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6632857
UT

Other

Enumeration date
01/18/2006
Last updated
05/22/2023
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