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NPI Code Detail

MEDICARE: DR. REINHARD WEISER DDS

MEDICARE:  DR. REINHARD  WEISER  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry032200CA

General Provider Information

NPI Number : 1164521647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REINHARD WEISER DDS
Provider Business Mailing Address
First Line : 485 BROADWAY
Second Line : SUITE #400
City : MILLBRAE
State : CA
Zip : 94030-1923
Country : US
Telephone Number : 650-697-2252
Fax Number : 650-697-2253
Provider Business Practice Location Address
First Line : 485 BROADWAY
Second Line : SUITE #400
City : MILLBRAE
State : CA
Zip : 94030-1923
Country : US
Telephone Number : 650-697-2252
Fax Number : 650-697-2253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/08/2007

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Directions to “ DR. REINHARD WEISER DDS” Practice Location

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