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Organization

BROOKSIDE DENTAL, INC.

Active
Other names
Mark Weissman, D.D.S.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK ELI WEISSMAN D.D.S. (PRESIDENT)
(954) 345-3439
Entity
Organization

Contact information

Practice address
10689 WILES RD, CORAL SPRINGS, FL 33076-2014
(954) 345-3439
(954) 345-8862
Mailing address
10689 WILES RD, CORAL SPRINGS, FL 33076-2014
(954) 345-3439
(954) 345-8862

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN07629
FL

Other

Enumeration date
04/28/2012
Last updated
04/28/2012
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