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Search › Florida › 171100000X

Mary Wiedenhoeft, OM LAC NCCDOM

NPI 1255414579 · on the registry since 2006

Practice

Address
17130 Royal Palm Blvd
Suite 2
Weston, FL 33326
Phone
(954) 389-8404
Fax
(954) 389-8404
Organisation at this address
Yelena Prato-Guia, Dmd, Inc
Advantage Dental Esthetic Group
South Broward Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida