Individual
PATRICIA JOLEEN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3421 KITSAP WAY, STE F, BREMERTON, WA 98312-2601
(360) 373-2025
Mailing address
3421 KITSAP WAY, STE F, BREMERTON, WA 98312-2601
(360) 373-2025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
815225 00 4
UNEMPLOYMENT TAX NUM
WA
Enumeration date
10/15/2006
Last updated
07/08/2007
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