Individual
DR. AMANDA WIECHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6 WOODS BROOKE LN, APT. 2, YORKTOWN HEIGHTS, NY 10598-5153
(618) 314-2881
Mailing address
6 WOODS BROOKE LN, APT. 2, YORKTOWN HEIGHTS, NY 10598-5153
(618) 314-2881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052521
NY
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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