Individual
JEFFREY A WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15600 NW 67 AVE, #110, MIAMI LAKES, FL 33014
(305) 823-8831
Mailing address
15102 SW 38TH ST, DAVIE, FL 33331
(954) 236-0067
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN15340
FL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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