License to Drill LLC
NPI #1639057789 in Bloomington, Indiana
Provider Information
- NPI Number
- 1639057789
- Entity Type
- Organization
- Organization Name
- License to Drill LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 26, 2025
- Last Updated
- Aug 26, 2025
Practice Location
- Address
- 212 E WINSLOW RD
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47401-8657
- Phone
- (812) 337-8888
Authorized Official
- Name
- NICKOLAUS M WEISS, DDS
- Title
- OWNER
- Phone
- (812) 279-9767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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