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Organization

DAVID S. WIENER D.D.S. & ROBERT L. WAGNER DMD P.LL.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID STEVEN WIENER DDS. (DR./PARTNER)
(631) 265-3132
Entity
Organization

Contact information

Practice address
200 EAST MAIN ST., SUITE 4E, SMITHTOWN, NY 11787
(631) 265-3132
(631) 265-3209
Mailing address
200 EAST MAIN ST., SUITE 4E, SMITHTOWN, NY 11787
(631) 265-3132
(631) 265-3209

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary

Other

Enumeration date
12/11/2012
Last updated
12/11/2012
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