Individual
ZANE MICHAEL WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16931 U.S. HIGHWAY 70, LONE GROVE, OK 73443
(580) 657-3117
(580) 657-8081
Mailing address
358 CHARLESTON DR, ARDMORE, OK 73401-6082
(580) 657-3117
(590) 657-8081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6046
OK
Other
Enumeration date
07/09/2009
Last updated
07/26/2010
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