Individual
DR. THUY WIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
385 BERT KOUNS LOOP STE 700, SHREVEPORT, LA 71106-8163
(318) 688-9330
(318) 688-1183
Mailing address
385 BERT KOUNS LOOP STE 700, SHREVEPORT, LA 71106-8163
(318) 688-9330
(318) 688-1183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5830
LA
Other
Enumeration date
06/13/2007
Last updated
09/24/2025
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