Organization
MARK D WEINHOLD D D S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D. WEINHOLD D.D.S. (PRESIDENT)
(815) 786-2185
Entity
Organization
Contact information
Practice address
1 E COUNTYLINE RD, STE A, SANDWICH, IL 60548-2178
(815) 786-2185
(815) 786-7014
Mailing address
1 E COUNTYLINE RD, STE A, SANDWICH, IL 60548-2178
(815) 786-2185
(815) 786-7014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017683
IL
Other
Enumeration date
08/11/2008
Last updated
12/17/2012
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