Individual
DR. YVETTE KJELLAND WIESENMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
105 N MAIN ST, UNION BRIDGE, MD 21791-9101
(410) 775-7878
Mailing address
105 N MAIN ST, UNION BRIDGE, MD 21791-9101
(410) 775-7878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14084
MD
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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