Weiss Dental & Orthodontics Professional Corporation

NPI #1073845764 in Las Vegas, Nevada

Provider Information

NPI Number: 1073845764
Entity Type: Organization
Organization Name: Weiss Dental & Orthodontics Professional Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: WEISS DENTAL & ORTHODONTICS PROFESSIONAL CORPORATION
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 4, 2010
Last Updated: Jan 12, 2011

Practice Location

Address: 7310 SMOKE RANCH RD STE F
City: Las Vegas
State: Nevada
ZIP Code: 89128-0257
Phone: (702) 254-7507

Authorized Official

Name: TERRI GARDINER
Title: CREDENTIALING COORDINATOR
Phone: (407) 772-5124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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