Organization
GARYWEINSTEIN,DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WEINSTEIN (PRESIDENT)
(314) 469-6300
Entity
Organization
Contact information
Practice address
14377 WOODLAKE DR, 115, CHESTERFIELD, MO 63017-5735
(314) 469-6300
Mailing address
14377 WOODLAKE DR, 115, CHESTERFIELD, MO 63017-5735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011776
MO
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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