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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