Individual
DR. KENNETH RAY WIEDENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 PROFESSIONAL PARK DR, VICTORIA, TX 77904-2351
(361) 578-8800
(361) 575-6986
Mailing address
101 PROFESSIONAL PARK DR, VICTORIA, TX 77904-2351
(361) 578-8800
(361) 575-6986
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14144
TX
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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