BENJAMIN THOMAS WIETECHA

COLUMBIA, SC
NPI1093140360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SC  8293)
Enumeration Date2013-09-05
Last Update Date2013-09-05
Business Address
-- BENJAMIN THOMAS WIETECHA DMD
10 MEDICAL PARK DENTAL CENTER
COLUMBIA, SC 29203
Phone number: 803-434-6567
Mailing Address
-- BENJAMIN THOMAS WIETECHA DMD
10 MEDICAL PARK DENTAL CENTER
COLUMBIA, SC 29203
Phone number: 803-434-6567