Individual
JULIA ROSE WIEGAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2352 MEADOWS BLVD STE 200, CASTLE ROCK, CO 80109-8408
(210) 273-9334
Mailing address
191 UNIVERSITY BLVD # 710, DENVER, CO 80206-4613
(210) 273-9334
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
34267
TX
1223P0221X
Pediatric Dentistry
Primary
DEN.00204231
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/09/2018
Last updated
06/25/2020
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