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Organization
CHARLOTTE C. WIEDENMAN, DMD
Active
Organization
CHARLOTTE C. WIEDENMAN, DMD
Active
Other names
Downtown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE COLLINS WIEDENMAN DMD (OWNER)
(803) 522-1878
Entity
Organization
Contact information
Practice address
129 FAUBURG ST SW, AIKEN, SC 29801-3805
(803) 649-0430
Mailing address
129 FAUBURG ST SW, AIKEN, SC 29801-3805
(803) 649-0430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17697
—
SC
05
—
ZX3844
—
SC
Enumeration date
04/20/2020
Last updated
12/28/2020
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