Organization
WIESE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD M WIESE D.D.S. (PRESIDENT)
(319) 351-9723
Entity
Organization
Contact information
Practice address
1004 E WASHINGTON ST, WASHINGTON, IA 52353-2149
(319) 653-2201
(319) 653-5548
Mailing address
1004 E WASHINGTON ST, WASHINGTON, IA 52353-2149
(319) 653-2201
(319) 653-5548
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
10/28/2014
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