Richard L. Wiedower, D.d.s., P.a.

NPI #1134385479 in Conway, Arkansas

Provider Information

NPI Number: 1134385479
Entity Type: Organization
Organization Name: Richard L. Wiedower, D.d.s., P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 6, 2008
Last Updated: Aug 6, 2008

Practice Location

Address: 810 SALEM RD
City: Conway
State: Arkansas
ZIP Code: 72034-4800
Phone: (501) 327-9988

Authorized Official

Name: MRS. PATRICIA A. SANDERS
Title: OFFICE MANAGER
Phone: (501) 327-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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