Leroy Nmi Weathersby II, DDS

NPI #1316025786 in Hazel Crest, Illinois

Provider Information

NPI Number: 1316025786
Entity Type: Individual
Name: Leroy Nmi Weathersby II, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17508 E CARRIAGEWAY DRIVE
Address 2: SUITE A
City: Hazel Crest
State: Illinois
ZIP Code: 60429
Phone: (708) 206-1181

Specialties & Taxonomy Codes

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

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