Individual
DR. MARIANNA M WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
I.A.O.,DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045913
NY
1223E0200X
Endodontics
045913
NY
1223G0001X
General Practice Dentistry
045913
NY
1223P0700X
Prosthodontics
045913
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
045913
NY
124Q00000X
Dental Hygienist
045913
NY
Other
Enumeration date
03/23/2007
Last updated
11/23/2007
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