Organization
DOGWOOD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICKOLAUS M WEISS DDS (DENTIST)
(812) 279-9767
Entity
Organization
Contact information
Practice address
262 N MAPLE ST, ORLEANS, IN 47452-1426
(812) 279-9767
(812) 279-5971
Mailing address
1545 J ST, BEDFORD, IN 47421-3839
(812) 279-9767
(812) 279-5971
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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