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1568473189
KENNETH RAY WIEDENFELD
VICTORIA, TX
NPI
1568473189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TX 14144)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
Dr. KENNETH RAY WIEDENFELD D.D.S.
101 PROFESSIONAL PARK DR
VICTORIA, TX 77904-2351
Phone number: 361-578-8800
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Mailing Address
Dr. KENNETH RAY WIEDENFELD D.D.S.
101 PROFESSIONAL PARK DR
VICTORIA, TX 77904-2351
Phone number: 361-578-8800
Copy
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