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Individual

GREGORY ALAN WEINBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4530 12TH AVE, MOLINE, IL 61265-2552
(309) 797-3887
(309) 736-5470
Mailing address
4530 12TH AVE, MOLINE, IL 61265-2552
(309) 797-3887
(309) 736-5470

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-028020
IL
1223P0221X
Pediatric Dentistry
Primary
021002611
IL

Other

Enumeration date
07/14/2009
Last updated
09/03/2015
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