Individual
DR. JOHN ANTHONY WEISENSEEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2655 CAMINO DEL RIO N, SUITE 150, SAN DIEGO, CA 92108-1633
(619) 282-7088
(619) 297-0504
Mailing address
1620 CRESPO DR, LA JOLLA, CA 92037-3844
(858) 454-0675
(858) 454-0675
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
38769
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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