DR. Scott C Wietecha, DMD

NPI #1114092707 in Columbia, South Carolina

Provider Information

NPI Number
1114092707
Entity Type
Individual
Name
DR. Scott C Wietecha, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DMD
Enumeration Date
Nov 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7033 SAINT ANDREWS RD
Address 2
SUITE 102
ZIP Code
29212-1179
Phone
(803) 781-3321

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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