Individual
DR. DAVID S. WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 E MAIN ST, SUITE 4E, SMITHTOWN, NY 11787-2878
(631) 265-3132
(631) 265-3209
Mailing address
200 E MAIN ST, SUITE 4E, SMITHTOWN, NY 11787-2878
(631) 265-3132
(631) 265-3209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040408
NY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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