Individual
DR. MARK JEFFREY WEISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5679 PORTAGE ST, YORBA LINDA, CA 92887-3743
(714) 779-6332
Mailing address
5679 PORTAGE STREET, YORBA LINDA, CA 92887-4134
(714) 779-6332
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25306
CA
Other
Enumeration date
07/18/2006
Last updated
04/18/2015
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