Ira Stephen Wiedman, DDS

NPI #1669518015 in San Fernando, California

Provider Information

NPI Number: 1669518015
Entity Type: Individual
Name: Ira Stephen Wiedman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 444 SO BRAND BLVD
Address 2: 104
City: San Fernando
State: California
ZIP Code: 91340
Phone: (818) 365-9827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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