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Individual

DR. MICHAEL WEISNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
130 BOWDOIN ST APT 1404, BOSTON, MA 02108-2722
(978) 509-8125
Mailing address
130 BOWDOIN ST APT 1404, BOSTON, MA 02108-2722
(978) 509-8125

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN1855525
MA

Other

Enumeration date
09/12/2010
Last updated
09/12/2010
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