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
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29212-1179
- Phone
- (803) 781-3321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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