Organization
STEPHEN A WEINER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ALAN WEINER DDS (PRESIDENT)
(410) 764-0330
Entity
Organization
Contact information
Practice address
124 SLADE AVE, 101, BALTIMORE, MD 21208-4900
(410) 764-0330
(410) 764-0356
Mailing address
124 SLADE AVE, 101, BALTIMORE, MD 21208-4900
(410) 764-0330
(410) 764-0356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08698
MD
122300000X
Dentist
Primary
4658
MD
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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