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Individual

DR. GARY R WEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
21355 EAST DIXIE HIGHWAY, STE 105, AVENTURA, FL 33180
(305) 935-2122
(305) 466-4226
Mailing address
21355 E DIXIE HWY, STE 105, AVENTURA, FL 33180
(305) 935-2122

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011897
FL

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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