Organization
NICK WEISS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK WEISS DDS (DENTIST/OWNER)
(262) 227-1348
Entity
Organization
Contact information
Practice address
2801 E CAROWINDS CT, BLOOMINGTON, IN 47401-9716
(262) 227-1348
Mailing address
2801 E CAROWINDS CT, BLOOMINGTON, IN 47401-9716
(262) 227-1348
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12011545A
IN
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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