LUCAS JAMES WIEBE

CANTON, SD
NPI1710335708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SD  606)
Enumeration Date2016-05-31
Last Update Date2016-05-31
Business Address
Dr. LUCAS JAMES WIEBE D.D.S
1110 W 5TH ST
CANTON, SD 57013-1543
Phone number: 605-987-2721
Mailing Address
Dr. LUCAS JAMES WIEBE D.D.S
PO BOX 9
CANTON, SD 57013-0009
Phone number: 605-987-2721