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1023153400
ROBERT GUSTAV WIESE
GARLAND, TX
NPI
1023153400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 13823)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Dr. ROBERT GUSTAV WIESE D.D.S.
3046 LAVON DR 127
GARLAND, TX 75040-8794
Phone number: 972-414-7195
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Mailing Address
Dr. ROBERT GUSTAV WIESE D.D.S.
3046 LAVON DR 127
GARLAND, TX 75040-8794
Phone number: 972-414-7195
Copy
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