Individual
DR. TREVOR ROY WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4141 NW 5TH ST, SUITE 102, PLANTATION, FL 33317-2158
(954) 791-1220
(954) 791-0631
Mailing address
4141 NW 5TH ST, SUITE 102, PLANTATION, FL 33317-2158
(954) 791-1220
(954) 791-0631
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 11394
FL
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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