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General NPI Number Information
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NPI Number | 1972359370
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Entity Type | Organization
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Legal Business Name | WEINGARTEN DDS INC
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 12660 RIVERSIDE DR STE 210
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-3430
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Country | US
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Telephone | 818-284-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 4213 FARMDALE AVE
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City | STUDIO CITY
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State | CA
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Zip | 91604-2939
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Country | US
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Telephone | 157-430-3253
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | DR. FLYNNE V WEINGARTEN
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Credential | DDS
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Telephone | 574-303-2533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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