Weiss Dental & Orthodontics Professional Corporation
Dentist, General Practice in Las Vegas, NV. Organization (NPI-2).
NPI number1073845764
StatusActive
Last updated in NPPESJan 12, 2011
Details
- NPI
- 1073845764
- Entity type
- Organization (NPI-2)
- Legal business name
- Weiss Dental & Orthodontics Professional Corporation
- Organization subpart
- Yes
- Enumeration date
- Feb 4, 2010
- Last updated
- Jan 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4547 | NV | Yes |
Other names
- Courtesy Dental And Orthodontics - Smoke Ranch (Doing Business As)
Practice location
7310 Smoke Ranch Rd Ste FLas Vegas, NV 89128-0257
Phone 702-254-7507 · Fax 702-254-5523
Mailing address
926 Great Pond Dr Ste 2003Altamonte Springs, FL 32714-7244
Phone 407-772-5124 · Fax 407-788-3572
Authorized official
Terri Gardiner
Credentialing Coordinator
4077725124
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