Individual
MISS SUSAN KAY WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9735 SW SHADY LN, SUITE #307, TIGARD, OR 97223-5481
(503) 968-1696
(503) 684-9808
Mailing address
9735 SW SHADY LN, SUITE #307, TIGARD, OR 97223-5481
(503) 968-1696
(503) 684-9808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6249
OR
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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