Organization
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Active
Parent organization
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Other names
Courtesy Dental and Orthodontics - Smoke Ranch
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Authorized official
TERRI GARDINER (CREDENTIALING COORDINATOR)
(407) 772-5124
Entity
Organization
Contact information
Practice address
7310 SMOKE RANCH RD STE F, LAS VEGAS, NV 89128-0257
(702) 254-7507
(702) 254-5523
Mailing address
926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4547
NV
Other
Enumeration date
02/04/2010
Last updated
01/12/2011
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