Micah Weisenberg, DDS

NPI #1588049233 in Midvale, Utah

Provider Information

NPI Number: 1588049233
Entity Type: Individual
Name: Micah Weisenberg, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 23, 2015
Last Updated: May 22, 2018

Practice Location

Address: 1144 E FORT UNION BLVD
City: Midvale
State: Utah
ZIP Code: 84047
Phone: (801) 566-3118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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