Search › California › 122300000X
Ira Wiedman, DDS
NPI 1669518015 · on the registry since 2007
Practice
- Address
- 444 So Brand Blvd
104
San Fernando, CA 91340 - Phone
- (818) 365-9827
- Fax
- (818) 365-8956
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- 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 California