| Stephen A Weiner Dds Pa | |
|
124 Slade Ave 101 Baltimore MD 21208-4900 | |
| (410) 764-0330 | |
| (410) 764-0356 |
| Full Name | Stephen A Weiner Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 124 Slade Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Stephen Alan Weiner (PRESIDENT) |
| Authorized Official Contact | 4107640330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen A Weiner Dds Pa 124 Slade Ave 101 Baltimore MD 21208-4900 Ph: (410) 764-0330 | Stephen A Weiner Dds Pa 124 Slade Ave 101 Baltimore MD 21208-4900 Ph: (410) 764-0330 |
| NPI Number | 1407184104 |
|---|---|
| Provider Enumeration Date | 11/18/2009 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407184104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4658 (Maryland) | Primary |
| 122300000X | Dentist | 08698 (Maryland) | Secondary |
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