| Wiese Family Dental | |
|
1004 E Washington St Washington IA 52353-2149 | |
| (319) 653-2201 | |
| (319) 653-5548 |
| Full Name | Wiese Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1004 E Washington St, Washington, Iowa |
| Authorized Official Name and Position | Chad M Wiese (PRESIDENT) |
| Authorized Official Contact | 3193519723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiese Family Dental 1004 E Washington St Washington IA 52353-2149 Ph: (319) 653-2201 | Wiese Family Dental 1004 E Washington St Washington IA 52353-2149 Ph: (319) 653-2201 |
| NPI Number | 1609897560 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609897560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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