MICHAEL THOMAS WIERNICKI

WINTER HAVEN, FL
NPI1356813869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL  22302)
Enumeration Date2018-12-21
Last Update Date2018-12-21
Business Address
MICHAEL THOMAS WIERNICKI
1074 SPRING LAKE PLAZA
WINTER HAVEN, FL 33881
Phone number: 561-289-4374
Mailing Address
MICHAEL THOMAS WIERNICKI
5717 TRACE MEADOW LOOP APT 304
RIVERVIEW, FL 33578-2625
Phone number:
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