Individual
DR. JOHN A. WIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
315 W BUSCH BLVD, SUITE A, TAMPA, FL 33612-7904
(813) 933-4141
(813) 935-6182
Mailing address
315 W BUSCH BLVD, SUITE A, TAMPA, FL 33612-7904
(813) 933-4141
(813) 935-6182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7050
FL
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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