# HAROLD D WEISS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence J Weiss, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760467039
- **Authorized official:** DR. LAWRENCE J WEISS DDS (OWNER)
- **Authorized official phone:** (718) 763-0505

## Contact information

- **Practice address:** 5520 GLENWOOD RD, BROOKLYN, NY 11234
- **Practice address phone:** (718) 763-0505
- **Practice address fax:** (718) 763-1776
- **Mailing address:** 5520 GLENWOOD RD, BROOKLYN, NY 11234
- **Mailing address phone:** (718) 763-0505
- **Mailing address fax:** (718) 763-1776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 043555 | NY | Yes |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 02/12/2013