NPI 1831315043

Todd Wiekhorst, DDS

Practitioner General Practice Dentistry Tucson, AS

Practice location

Address: 4801 North First Avenue, Tucson, AS 85718
Phone: (520) 888-8800
Mailing address: 4801 North First Avenue, Tucson, AZ 85718

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1589 (AZ)

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Registry record

NPI: 1831315043
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.