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1003451642
BRIAN MATTHEW WIACEK
FREDERICK, MD
NPI
1003451642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 17917)
Enumeration Date
2019-11-07
Last Update Date
2023-06-05
Business Address
DR. BRIAN MATTHEW WIACEK DMD
7115 GUILFORD DR STE 101
FREDERICK, MD 21704-5234
Phone number: 240-379-1550
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Mailing Address
DR. BRIAN MATTHEW WIACEK DMD
7115 GUILFORD DR STE 101
FREDERICK, MD 21704-5234
Phone number: 240-379-1550
Copy
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