Jonathan Walter Weidemann, DDS

NPI #1174726145 in Long Beach, California

Provider Information

NPI Number: 1174726145
Entity Type: Individual
Name: Jonathan Walter Weidemann, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5963 EAST SPRING STREET
City: Long Beach
State: California
ZIP Code: 90808
Phone: (562) 421-8401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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