Weiss Dental & Orthodontics Professional Corporation

NPI #1861724551 in Sparks, Nevada

Provider Information

NPI Number: 1861724551
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: 840 I ST STE 3
City: Sparks
State: Nevada
ZIP Code: 89431-3697
Phone: (775) 358-1870

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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