Individual
DR. FREDRIC K WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2375 WOODWARD ST, SUITE 118, PHILADELPHIA, PA 19115-5120
(215) 969-6688
Mailing address
2375 WOODWARD ST, SUITE 118, PHILADELPHIA, PA 19115-5120
(215) 969-6688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12493
NJ
122300000X
Dentist
Primary
DS20592L
PA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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