Individual
DR. LAUREN N WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15 S WARRIOR LN, WAUKEE, IA 50263-9597
(515) 987-8387
(515) 987-7718
Mailing address
1318 SW RADCLIFFE LN, ANKENY, IA 50023-2169
(515) 473-0945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09904
IA
Other
Enumeration date
07/08/2021
Last updated
08/07/2023
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