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1104010487
JONATHAN M WEISS
NEWBURGH, NY
NPI
1104010487
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 10131-1)
Enumeration Date
2007-08-30
Last Update Date
2007-10-24
Business Address
Dr. JONATHAN M WEISS DDS
136 LAKE ST SUITE 11
NEWBURGH, NY 12550-5245
Phone number: 845-565-1677
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Mailing Address
Dr. JONATHAN M WEISS DDS
415 N GRAND AVE
PUEBLO, CO 81003-3111
Phone number: 719-562-4461
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