Organization
DR. JAW ORTHODONTISTS ORO VALLEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALAN WEAVER D.D.S. (MEMBER)
(520) 745-0654
Entity
Organization
Contact information
Practice address
10550 N LA CANADA DR STE 110, ORO VALLEY, AZ 85737-7134
(520) 544-9200
Mailing address
10550 N LA CANADA DR STE 110, ORO VALLEY, AZ 85737-7134
(520) 544-9200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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