Individual
LAURA ANN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1340 HILL CREST RD, CINCINNATI, OH 45224-3226
(513) 681-8825
(937) 392-4339
Mailing address
1340 HILL CREST RD, CINCINNATI, OH 45224-3226
(513) 681-8825
(937) 392-4339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18689
OH
1223G0001X
General Practice Dentistry
30-01-8689
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766620
—
OH
Enumeration date
05/11/2006
Last updated
03/03/2014
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