Organization
BRIAN C. WEAVER, DDS, LLC
Active
Other names
Riverstone Oral & Dental Implant Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHRISTOPHER WEAVER DDS (OWNER)
(614) 568-0230
Entity
Organization
Contact information
Practice address
627 OFFICE PKWY, SUITE B, WESTERVILLE, OH 43082-7988
(614) 568-0230
Mailing address
5551 BRISTOL PKWY, DUBLIN, OH 43017-8359
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
30022509
OH
Other
Enumeration date
05/17/2011
Last updated
08/21/2011
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