Wiese Family Dental

NPI #1609897560 in Washington, Iowa

Provider Information

NPI Number: 1609897560
Entity Type: Organization
Organization Name: Wiese Family Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 23, 2006
Last Updated: Oct 28, 2014

Practice Location

Address: 1004 E WASHINGTON ST
City: Washington
State: Iowa
ZIP Code: 52353-2149
Phone: (319) 653-2201

Authorized Official

Name: DR. CHAD M WIESE, D.D.S.
Title: PRESIDENT
Phone: (319) 351-9723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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