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1114092707
SCOTT C WIETECHA
COLUMBIA, SC
NPI
1114092707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: SC 2148)
Enumeration Date
2006-11-21
Last Update Date
2007-07-08
Business Address
Dr. SCOTT C WIETECHA DMD
7033 SAINT ANDREWS RD SUITE 102
COLUMBIA, SC 29212-1179
Phone number: 803-781-3321
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Mailing Address
Dr. SCOTT C WIETECHA DMD
7033 SAINT ANDREWS RD SUITE 102
COLUMBIA, SC 29212-1179
Phone number: 803-781-3321
Copy
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