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Individual

JESSIE WEIDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-9100
Mailing address
7696 LAURELWOOD DR, CANAL WINCHESTER, OH 43110-8838
(614) 589-5486

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.028419
OH

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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