Individual
LAWRENCE E. WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
374 CLINTON AVE, WYCKOFF, NJ 07481-1975
(201) 891-5424
(201) 847-1264
Mailing address
374 CLINTON AVE, WYCKOFF, NJ 07481-1975
(201) 891-5424
(201) 847-1264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI 19510
NJ
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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