Individual
DR. BRUCE A WEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1700 COOPER FOSTER PARK RD W, #B, LORAIN, OH 44053-3679
(440) 282-1396
(440) 282-1790
Mailing address
1700 COOPER FOSTER PARK RD W, #B, LORAIN, OH 44053-3679
(440) 282-1396
(440) 282-1790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30016126
OH
Other
Enumeration date
06/17/2005
Last updated
10/23/2014
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