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Individual

MORGAN TREY WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5915 HIGH ST W, PORTSMOUTH, VA 23703-4505
(757) 484-8262
(757) 484-8262
Mailing address
5915 HIGH ST W, PORTSMOUTH, VA 23703-4505
(757) 484-8262
(757) 484-8262

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
040110496
VA
1223P0221X
Pediatric Dentistry
051082
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02532658
NY
05
02532658
VA
Enumeration date
11/21/2005
Last updated
05/03/2012
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