IRA STEPHEN WIEDMAN

SAN FERNANDO, CA
NPI1669518015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  26937)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
-- IRA STEPHEN WIEDMAN DDS
444 SO BRAND BLVD 104
SAN FERNANDO, CA 91340
Phone number: 818-365-9827
Mailing Address
-- IRA STEPHEN WIEDMAN DDS
444 SO BRAND BLVD 104
SAN FERNANDO, CA 91340
Phone number: 818-365-9827
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