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WERNER ERNST WIEDEMANN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
33 N BANK ST, LURAY, VA 22835-1115
(540) 743-3434
Mailing address
33 N BANK ST, LURAY, VA 22835-1115
(540) 743-3434

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006009
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7819200
VA
Enumeration date
10/17/2005
Last updated
07/09/2007
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