| Bruce A Weitz Dds Inc | |
|
1700 Cooper Foster Park Rd W Lorain OH 44053-3679 | |
| (440) 282-1396 | |
| (440) 282-1396 |
| Full Name | Bruce A Weitz Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1700 Cooper Foster Park Rd W, Lorain, Ohio |
| Authorized Official Name and Position | Bruce A Weitz (PRESIDENT) |
| Authorized Official Contact | 4402821396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Weitz Dds Inc 1700 Cooper Foster Park Rd W Lorain OH 44053-3679 Ph: (440) 282-1396 | Bruce A Weitz Dds Inc 1700 Cooper Foster Park Rd W Lorain OH 44053-3679 Ph: (440) 282-1396 |
| NPI Number | 1114191889 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114191889 | NPI | - | NPPES |
| 0872908 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30016126 (Ohio) | Primary |
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