Individual
DANIEL KENNETH WEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
524 RED LANE RD, SUITE F, BIRMINGHAM, AL 35215-8245
(205) 836-4044
(205) 836-4311
Mailing address
2001 20TH AVE S, BIRMINGHAM, AL 35209-1343
(615) 260-6067
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5643
AL
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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