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Individual

DR. LOIS L WEISS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
19 ALTA VISTA RD, PORT JEFFERSON, NY 11777-1002
(631) 476-2187
(718) 463-6556
Mailing address
19 ALTA VISTA RD, PORT JEFFERSON, NY 11777-1002
(631) 476-2187
(718) 463-6556

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
035097
NY

Other

Enumeration date
02/28/2006
Last updated
07/08/2007
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