Individual
JONATHAN KENT WEISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13271 STRICKLAND RD, RALEIGH, NC 27613
(919) 872-7363
Mailing address
8450 LOUISBURG RD STE 130, RALEIGH, NC 27616-5884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10050
NC
1223G0001X
General Practice Dentistry
Primary
10050
NC
Other
Enumeration date
06/04/2015
Last updated
06/04/2018
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