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Organization
LAWRENCE E WEAVER, DDS
Active
Organization
LAWRENCE E WEAVER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE E WEAVER DDS (OWNER/DENTIST)
(850) 385-2003
Entity
Organization
Contact information
Practice address
1957 RAYMOND DIEHL RD, TALLAHASSEE, FL 32308-3841
(850) 385-2003
Mailing address
1957 RAYMOND DIEHL RD, TALLAHASSEE, FL 32308-3841
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13009
FL
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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