Individual
DAVID WIEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 MIDDLE TPKE W, MANCHESTER, CT 06040-3833
(860) 661-4000
(860) 661-4002
Mailing address
80 GARDEN GATE, FARMINGTON, CT 06032-4501
(860) 299-3323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12844
CT
Other
Enumeration date
03/21/2019
Last updated
08/07/2020
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