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1245621523
CARLOS WIESSE, DDS, PA
GRAND PRAIRIE, TX
NPI
1245621523
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Entity Type
Organization
Authorized Contact
CARLOS WIESSE
Dentist
817-649-8888
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15548)
Enumeration Date
2015-02-09
Last Update Date
2015-02-09
Business Address
CARLOS WIESSE, DDS, PA
5535 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052-8515
Phone number: 817-649-8888
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Mailing Address
CARLOS WIESSE, DDS, PA
5535 LAKE RIDGE PKWY
GRAND PRAIRIE, TX 75052-8515
Phone number: 817-649-8888
Copy
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