Individual
MATTHEW SCOTT WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
53 E LAKE MEAD PKWY, HENDERSON, NV 89015-5531
(702) 564-3444
(702) 564-9530
Mailing address
53 E. LAKE MEAD PARKWAY, HENDERSON, NV 89015
(702) 564-3444
(702) 564-9530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4790
NV
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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