NPI 1093973067

David Mark Weis, DDS

Practitioner General Practice Dentistry Hales Corners, WI

Practice location

Address: 5645 S 108th St, Hales Corners, WI 53130-1942
Phone: (414) 529-3253

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5002070-015 (WI)

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Registry record

NPI: 1093973067
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2008
Record last updated: 27 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.