| NPI | 1578060299 |
|---|---|
| Professional Name | JULIA R WIEGAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN.00204231) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 34267) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2020-06-25 |