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DR. TODD WIEKHORST DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1831315043

Individual Registrant:
DR. TODD  WIEKHORST DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
4801 NORTH FIRST AVENUE  TUCSON, AS 85718 US
Tel: 520-888-8800  Fax: --

Contact information for business:
4801 NORTH FIRST AVENUE  TUCSON, AZ 85718 US
Tel: 520-888-8800  Fax: --

Registration Information:
NPI: 1831315043
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AZ1589

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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