Individual
RICHARD KEITH WEIMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11256 86TH AVE. NO., MAPLE GROVE, MN 55369
(763) 275-3080
Mailing address
11256 86TH AVE N, MAPLE GROVE, MN 55369-4510
(763) 493-9446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9589
MN
Other
Enumeration date
11/22/2006
Last updated
05/17/2023
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