Individual
DR. BRYAN WEYNETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 SHERMAN AVE, #103, NAPERVILLE, IL 60563-8608
(630) 369-5225
Mailing address
1100 SHERMAN AVE, #103, NAPERVILLE, IL 60563-8608
(630) 369-5225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-022089
IL
Other
Enumeration date
04/18/2012
Last updated
10/08/2019
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