Organization
PAUL B. WIEGAND D.D.S., M.S.D.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B WIEGAND DDS (OWNER/DENTIST)
(210) 495-5437
Entity
Organization
Contact information
Practice address
14801 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 495-5437
(210) 495-3434
Mailing address
14801 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 495-5437
(210) 495-3434
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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