Individual
CHARYL RENEE WEINGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
591 APOLLO DR, LINO LAKES, MN 55014-3005
(651) 786-7630
Mailing address
591 APOLLO DR, LINO LAKES, MN 55014-3005
(651) 786-7630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6864
NE
1223G0001X
General Practice Dentistry
Primary
D12862
MN
Other
Enumeration date
08/03/2010
Last updated
03/12/2020
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