Individual
DR. STACY I. WEEDON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
720 ROUTE 202-206 N, GREEN KNOLL PROF'L PARK BUILDING 2, BRIDGEWATER, NJ 08807
(908) 707-1133
(908) 707-4665
Mailing address
720 ROUTE 202-206 N, GREEN KNOLL PROF'L PARK BUILDING 2, BRIDGEWATER, NJ 08807
(908) 707-1133
(908) 707-4665
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI01796000
NJ
Other
Enumeration date
08/03/2005
Last updated
07/08/2007
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