Individual
AXELLE LOURDES WIEGERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
305 CAYUGA AVE, ALTOONA, PA 16602-4323
(814) 944-0607
(814) 944-0587
Mailing address
305 CAYUGA AVE, ALTOONA, PA 16602-4323
(814) 944-0607
(814) 944-0587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029869L
PA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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