Individual
DR. BRADLEY ALAN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
636 CHURCH ST, SUITE 200 W, EVANSTON, IL 60201-4508
(847) 864-0082
Mailing address
636 CHURCH ST, SUITE 200 W, EVANSTON, IL 60201-4508
(847) 864-0082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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