Organization
DUTRO SYSTEMS INC
Active
Other names
WEISEL FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL L WEISEL DDS (PRESIDENT)
(727) 939-2099
Entity
Organization
Contact information
Practice address
1730 S PINELLAS AVE, SUITES J&K, TARPON SPRINGS, FL 34689-1959
(727) 939-2099
(727) 937-2298
Mailing address
1730 S PINELLAS AVE, SUITES J&K, TARPON SPRINGS, FL 34689-1959
(727) 939-2099
(727) 937-2298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0010195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15141
FORTIS
FL
01
—
215753
CIGNA
FL
01
—
4011
COMPBENEFITS
FL
01
—
42082
ADI
FL
01
—
60453
BLUECROSS BLUESHIELD
FL
01
—
700016
UNITED CONCORDIA
FL
01
—
9677
SAFEGUARD
FL
Enumeration date
11/01/2006
Last updated
08/22/2020
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