Individual
DAVID S. WIETING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
122 WEST 6TH STREET, YORK, NE 68467
(402) 362-3379
(402) 362-3370
Mailing address
122 WEST 6TH STREET, YORK, NE 68467
(402) 362-3379
(402) 362-3370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4785
NE
122300000X
Dentist
9889
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47060373000
—
NE
Enumeration date
04/24/2012
Last updated
04/24/2012
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