Individual
DR. TIMOTHY GARTH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-7473
(614) 292-7650
Mailing address
2554 WOODMEADOW DR SE, STE D, GRAND RAPIDS, MI 49546-8033
(616) 942-4010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IN PROCESS
OH
Other
Enumeration date
04/22/2009
Last updated
04/26/2016
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