Weisenberg, Mark Jeffrey

Weisenberg, Mark Jeffrey is an sole proprietor health care provider with primary practice located at 5679 Portage St , Yorba Linda CA 92887-3743. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Weisenberg, Mark Jeffrey can be contacted via phone (714) 779-6332.

Contact Information

Primary practice address
5679 Portage St Yorba Linda CA 92887-3743
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 25306 California

Profile Details

NPI number 1548289002
LBN Legal business name Weisenberg, Mark Jeffrey
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Apr 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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