Individual
DR. DAVID WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3520 E 96TH ST STE 6, INDIANAPOLIS, IN 46240-3734
(317) 844-9010
Mailing address
3520 E 96TH ST STE 6, INDIANAPOLIS, IN 46240-3734
(317) 844-9010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007957
IN
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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