Individual
DR. THOMAS GEORG WIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
345 E 24TH ST, NYU-COLLEGE OF DENTISTRY, NEW YORK, NY 10010-4020
(212) 998-9667
(212) 995-4920
Mailing address
345 E 24 TH STREET, NYU-COLLEGE OF DENTISTRY, NEW YORK, NY 10010-4020
(212) 998-9667
(212) 995-4920
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
000069
NY
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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