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Individual

DR. JACK WARREN WEINREB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
575 MAIN ST, SUITE 153, LAUREL, MD 20707-4343
(301) 604-4423
(301) 604-0020
Mailing address
575 MAIN ST, SUITE 153, LAUREL, MD 20707-4343
(301) 604-4423
(301) 604-0020

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7508
MD

Other

Enumeration date
03/06/2007
Last updated
02/16/2016
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