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1346257177
CARLOS GUILLERMO WIESSE
GRAND PRAIRIE, TX
NPI
1346257177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 15548)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
Dr. CARLOS GUILLERMO WIESSE D.D.S.
4116 S CARRIER PKWY STE 320
GRAND PRAIRIE, TX 75052-3243
Phone number: 972-262-5522
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Mailing Address
Dr. CARLOS GUILLERMO WIESSE D.D.S.
4116 S CARRIER PKWY STE 320
GRAND PRAIRIE, TX 75052-3243
Phone number: 972-262-5522
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