MICHAEL R. WIESNER DDS LLC

SHREVEPORT, LA
NPI1750101606
Doing Business AsA BRIGHTER SMILE DENTAL CARE
Entity TypeOrganization
Authorized ContactINGER WHITTINGTON
Insurance Billing Lead
318-606-7622
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2024-10-15
Last Update Date2024-10-15
Business Address
MICHAEL R. WIESNER DDS LLC
385 BERT KOUNS LOOP STE 700
SHREVEPORT, LA 71106-8163
Phone number: 318-688-9330
Mailing Address
MICHAEL R. WIESNER DDS LLC
2557 VIKING DR
BOSSIER CITY, LA 71111-2103
Phone number: 318-606-7622