Wiacek, Brian Matthew
Wiacek, Brian Matthew is an individual health care provider with primary practice located at 7115 Guilford Dr Ste 101 , Frederick MD 21704-5234. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wiacek, Brian Matthew can be contacted via phone (240) 379-1550.Contact Information
Primary practice address
7115 Guilford Dr Ste 101
Frederick MD 21704-5234
Phone: (240) 379-1550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 17917 | Maryland |
Profile Details
| NPI number | 1003451642 |
|---|---|
| LBN Legal business name | Wiacek, Brian Matthew |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2019 |
| Last updated | Jun 5th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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