DR. Jonathan M Weiss, DDS

NPI #1104010487 in Newburgh, New York

Provider Information

NPI Number
1104010487
Entity Type
Individual
Name
DR. Jonathan M Weiss, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 30, 2007
Last Updated
Oct 24, 2007

Practice Location

Address
136 LAKE ST
Address 2
SUITE 11
ZIP Code
12550-5245
Phone
(845) 565-1677

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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