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1013053271
MICHAEL J WIENER
NEW HAVEN, CT
NPI
1013053271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CT 008178)
Enumeration Date
2007-01-29
Last Update Date
2014-05-05
Business Address
Dr. MICHAEL J WIENER DDS
921 STATE ST
NEW HAVEN, CT 06511-3926
Phone number: 203-865-2245
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Mailing Address
Dr. MICHAEL J WIENER DDS
140 ALSTON AVE
NEW HAVEN, CT 06515-2002
Phone number:
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