Individual
GARY JOHN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9854 MAIN ST, FAIRFAX, VA 22031-3908
(703) 278-8866
(703) 278-9089
Mailing address
9854 MAIN ST, FAIRFAX, VA 22031-3908
(703) 278-8866
(703) 278-9089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401-006004
VA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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