Male or Other

Dr. Leo Wieder D.M.D

General Practice Dentistry in West Caldwell, NJ(View on Map)

Full Name

Dr. Leo Wieder D.M.D

NPI Number

1285793158

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/07/2006

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

22D101097900

Contact
Information

Purpose

Mailing
Location

Address

671 BLOOMFIELD AVE
671 BLOOMFIELD AVE

City

West Caldwell
West Caldwell

State

NJ
NJ

Postal Code

07006-7540
07006-7540

Country

US
US

Telephone Number

(973) 228-2244
(973) 228-2244

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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