Individual
ABIGAIL WIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
106 HIGH POINT CTR STE 100, COLCHESTER, VT 05446-8800
(802) 655-5308
Mailing address
106 HIGH POINT CTR STE 100, COLCHESTER, VT 05446-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
090712
VT
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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