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DR. TODD WIEKHORST DDS
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1831315043
Individual Registrant:DR. TODD WIEKHORST DDS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
4801 NORTH FIRST AVENUE TUCSON, AS 85718 US
Tel: 520-888-8800 Fax: --
Tel: 520-888-8800 Fax: --
Contact information for business:
4801 NORTH FIRST AVENUE TUCSON, AZ 85718 US
Tel: 520-888-8800 Fax: --
Tel: 520-888-8800 Fax: --
Registration Information:
NPI: 1831315043
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AZ | 1589 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
