Individual
MICHAEL WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5538 N BURDICK ST, FAYETTEVILLE, NY 13066-9604
(315) 637-6961
(315) 637-0169
Mailing address
5538 N BURDICK ST, FAYETTEVILLE, NY 13066-9604
(315) 637-6961
(315) 637-0169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS040294
PA
1223P0221X
Pediatric Dentistry
Primary
DS040294
PA
Other
Enumeration date
06/27/2014
Last updated
03/01/2022
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