Organization
RED HILLS DENTAL ASSOCIATES
Active
Other names
Lawrence E Weaver DDS
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M BERRY (OFFICE ADMINISTRATOR)
(850) 385-2003
Entity
Organization
Contact information
Practice address
1957 RAYMOND DIEHL RD, TALLAHASSEE, FL 32308-3841
(850) 385-2003
Mailing address
1957 RAYMOND DIEHL RD, TALLAHASSEE, FL 32308-3841
(850) 385-2003
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN13009
FL
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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