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1174726145
JONATHAN WALTER WEIDEMANN
LONG BEACH, CA
NPI
1174726145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 45538)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
-- JONATHAN WALTER WEIDEMANN DDS
5963 EAST SPRING STREET
LONG BEACH, CA 90808
Phone number: 562-421-8401
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Mailing Address
-- JONATHAN WALTER WEIDEMANN DDS
830 CHILDS WAY #703
LOS ANGELES, CA 90815-0277
Phone number: 562-431-1183
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