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1669518015
IRA STEPHEN WIEDMAN
SAN FERNANDO, CA
NPI
1669518015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 26937)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- IRA STEPHEN WIEDMAN DDS
444 SO BRAND BLVD 104
SAN FERNANDO, CA 91340
Phone number: 818-365-9827
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Mailing Address
-- IRA STEPHEN WIEDMAN DDS
444 SO BRAND BLVD 104
SAN FERNANDO, CA 91340
Phone number: 818-365-9827
Copy
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