| NPI | 1861910341 |
|---|---|
| Doing Business As | DR. WIEDENFELD DDS- CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AMANDA SAIZ Credentialing Specialist 254-338-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |