| Mark Wienberg Dds Inc | |
|
14431 Ventura Blvd Sherman Oaks CA 91423-2606 | |
| (818) 789-3508 | |
| Not Available |
| Full Name | Mark Wienberg Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14431 Ventura Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Mark Wienberg (DOCTOR) |
| Authorized Official Contact | 8187893508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wienberg Dds Inc 14431 Ventura Blvd Sherman Oaks CA 91423-2606 Ph: (818) 789-3508 | Mark Wienberg Dds Inc 14431 Ventura Blvd Sherman Oaks CA 91423-2606 Ph: (818) 789-3508 |
| NPI Number | 1962921759 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729342571 |
|---|---|
| Medicare Enrollment ID | O20180503001438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962921759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Mark Wienberg |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275746273 PECOS PAC ID: 6608185939 Enrollment ID: I20151027001896 |
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