Individual
EDWARD MARC WEIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
9094 E MINERAL AVE, SUITE 260, CENTENNIAL, CO 80112
(303) 768-8570
(303) 768-8572
Mailing address
9094 E MINERAL AVE, SUITE 260, CENTENNIAL, CO 80112
(303) 768-8570
(303) 768-8572
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9626
CO
Other
Enumeration date
04/09/2007
Last updated
03/11/2011
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