Individual
DR. JEFFREY JOSEPH WIESNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1712 W BROAD ST, BETHLEHEM, PA 18018-3324
(610) 867-1855
(610) 867-7585
Mailing address
1712 W BROAD ST, BETHLEHEM, PA 18018-3324
(610) 867-1855
(610) 867-7585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019572L
PA
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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