CAROL WIESE

RAPID CITY, SD
NPI1215374335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: SD  D1361)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MI  2901020964)
Enumeration Date2013-05-30
Last Update Date2022-09-21
Business Address
CAROL WIESE DDS
700 SHERIDAN LAKE RD.
RAPID CITY, SD 57702
Phone number: 605-721-6634
Mailing Address
CAROL WIESE DDS
700 SHERIDAN LAKE RD
RAPID CITY, SD 57702-2407
Phone number: 605-721-6634