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Individual

ALLAN R WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1330 A W MAIN ST, LEWISVILLE, TX 75067
(972) 436-1553
(972) 353-5004
Mailing address
1330 A W MAIN ST, LEWISVILLE, TX 75067
(972) 436-1553
(972) 353-5004

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11871
TX

Other

Enumeration date
01/10/2006
Last updated
07/08/2007
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