Organization
DAVID L. WEISS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL E MANCUSO (OFFICE MANAGER)
(541) 747-0101
Entity
Organization
Contact information
Practice address
175 W B ST STE G, SPRINGFIELD, OR 97477-4575
(541) 747-0101
(541) 747-6494
Mailing address
175 W B ST STE G, SPRINGFIELD, OR 97477-4575
(541) 747-0101
(541) 747-6494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5571
OR
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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