Individual
DR. DANIEL ALLISON WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S
Contact information
Practice address
1520 E STARR AVE, NACOGDOCHES, TX 75961-4325
(936) 564-9320
(936) 564-6779
Mailing address
1520 E STARR AVE, NACOGDOCHES, TX 75961-4325
(936) 564-9320
(936) 564-6779
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10459
TX
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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