Organization
VICTORIA KIDS DENTISTRY PLLC
Active
Other names
Dr. Wiedenfeld DDS- Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA SAIZ (CREDENTIALING SPECIALIST)
(254) 338-1468
Entity
Organization
Contact information
Practice address
101 PROFESSIONAL PARK DR, VICTORIA, TX 77904-2351
(361) 578-8800
Mailing address
101 PROFESSIONAL PARK DR, VICTORIA, TX 77904-2351
(361) 578-8800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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