Organization
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Active
Parent organization
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Other names
Courtesy Dental and Orthodontics - Sparks
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Authorized official
TERRI GARDINER (CREDENTIALING COORDINATOR)
(407) 772-5124
Entity
Organization
Contact information
Practice address
840 I ST STE 3, SPARKS, NV 89431-3697
(775) 358-1870
(775) 358-1183
Mailing address
926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4547
NV
Other
Enumeration date
02/04/2010
Last updated
01/12/2011
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