Organization
JOHN R. WIENS DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WIENS D.D.S. (PRESIDENT)
(559) 906-1984
Entity
Organization
Contact information
Practice address
615 N I ST, MADERA, CA 93637-3075
(559) 673-8044
(559) 673-5447
Mailing address
615 N I ST, MADERA, CA 93637-3075
(559) 673-8044
(559) 673-5447
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
62455
CA
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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