Individual
BRANDT LEE WEININGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2540 S STATE ROUTE 100, TIFFIN, OH 44883-9356
(419) 937-6168
Mailing address
647 HEDGEGATE SOUTH CT, TIFFIN, OH 44883-3186
(419) 937-6168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.023501
OH
122300000X
Dentist
7052
SC
Other
Enumeration date
08/16/2011
Last updated
12/19/2015
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