Organization
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Active
Parent organization
WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Other names
Courtesy Dental & Orthodontics - Charleston
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
69 N NELLIS BLVD, LAS VEGAS, NV 89110-5330
(702) 453-7200
(702) 438-4637
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
01/28/2010
Last updated
01/12/2011
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