Organization · Type 2 NPI

Thomas R. Wiedemann, Dds,pc

Dental Clinic/Center · St. Louis, MO

NPI number 1245390798 Active

About NPI 1245390798

Thomas R. Wiedemann, Dds,pc's National Provider Identifier is 1245390798, issued on Dec 12, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 22, 2020.