BLAINE EDWARD WIECK

AMARILLO, TX
NPI1780023697
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  29187)
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
Dr. BLAINE EDWARD WIECK DDS
2401 COMMERCE ST
AMARILLO, TX 79109-1513
Phone number: 806-358-7633
Mailing Address
Dr. BLAINE EDWARD WIECK DDS
2401 COMMERCE ST
AMARILLO, TX 79109-1513
Phone number: 806-358-7633
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