Individual
IVAN K WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
57 NORTH ST STE 122A, DANBURY, CT 06810-5626
(203) 791-0043
(203) 791-2546
Mailing address
57 NORTH ST SUITE 122A, DANBURY, CT 06810
(203) 791-0043
(203) 791-2546
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5133
CT
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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