Organization
DR DANIEL ANDREW WEAVER PROFESSIONAL DENTAL CORPORATION
Active
Other names
Center for Restorative Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WEAVER DDS (OWNER/DENTIST)
(337) 478-3123
Entity
Organization
Contact information
Practice address
715 W COLLEGE ST, LAKE CHARLES, LA 70605-1523
(337) 478-3123
(337) 504-7875
Mailing address
715 W COLLEGE ST, LAKE CHARLES, LA 70605-1523
(337) 478-3123
(337) 504-7875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
02/03/2026
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