THOMAS R WIEDEMANN

SAINT LOUIS, MO
NPI1790782399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MO  13165)
Enumeration Date2005-06-28
Last Update Date2007-07-08
Business Address
DR. THOMAS R WIEDEMANN D.D.S.
3707 WATSON RD
SAINT LOUIS, MO 63109-1236
Phone number: 314-645-6400
Mailing Address
DR. THOMAS R WIEDEMANN D.D.S.
3707 WATSON RD
SAINT LOUIS, MO 63109-1236
Phone number: 314-645-6400