Zachary Jordan Weiss

NPI #1073908901 in Maywood, Illinois

Provider Information

NPI Number
1073908901
Entity Type
Individual
Name
Zachary Jordan Weiss
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Mar 30, 2015
Last Updated
Feb 22, 2018

Practice Location

Address
2160 S 1ST AVE
Address 2
BUILDING 105, SUITE 1814
ZIP Code
60153-3328
Phone
(888) 584-7888

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist

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