Wiesen, Mark Joseph

Wiesen, Mark Joseph is an individual health care provider with primary practice located at 450 Sutter St Suite 2400, San Francisco CA 94108-4206. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Wiesen, Mark Joseph can be contacted via phone (415) 989-0550.

Contact Information

Primary practice address
450 Sutter St Suite 2400 San Francisco CA 94108-4206
Phone: (415) 989-0550
Fax: (415) 989-0554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 44640 California

Profile Details

NPI number 1649311440
LBN Legal business name Wiesen, Mark Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 19 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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