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1194044933
GARY JOHN WEISS
FAIRFAX, VA
NPI
1194044933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401-006004)
Enumeration Date
2010-05-19
Last Update Date
2010-05-19
Business Address
-- GARY JOHN WEISS D.D.S.
9854 MAIN ST
FAIRFAX, VA 22031-3908
Phone number: 703-278-8866
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Mailing Address
-- GARY JOHN WEISS D.D.S.
9854 MAIN ST
FAIRFAX, VA 22031-3908
Phone number: 703-278-8866
Copy
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