Individual
WERNER ERNST WIEDEMANN
Active
Sole proprietor
No
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
07/13/2026
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