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1790782399
THOMAS R WIEDEMANN
SAINT LOUIS, MO
NPI
1790782399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 13165)
Enumeration Date
2005-06-28
Last Update Date
2007-07-08
Business Address
Dr. THOMAS R WIEDEMANN d.d.s.
3707 WATSON RD
SAINT LOUIS, MO 63109-1236
Phone number: 314-645-6400
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Mailing Address
Dr. THOMAS R WIEDEMANN d.d.s.
3707 WATSON RD
SAINT LOUIS, MO 63109-1236
Phone number: 314-645-6400
Copy
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