# BROOKSIDE DENTAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mark Weissman, D.D.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518225432
- **Authorized official:** DR. MARK ELI WEISSMAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (954) 345-3439

## Contact information

- **Practice address:** 10689 WILES RD, CORAL SPRINGS, FL 33076-2014
- **Practice address phone:** (954) 345-3439
- **Practice address fax:** (954) 345-8862
- **Mailing address:** 10689 WILES RD, CORAL SPRINGS, FL 33076-2014
- **Mailing address phone:** (954) 345-3439
- **Mailing address fax:** (954) 345-8862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN07629 | FL | Yes |

## Other

- **Enumeration date:** 04/28/2012
- **Last updated:** 04/28/2012