Organization
MICHAEL D WEAVER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DON WEAVER DDS (PRES DDS)
(580) 657-3117
Entity
Organization
Contact information
Practice address
16931 US HWY 70, LONE GROVE, OK 73443-1270
(580) 657-3117
(580) 657-8081
Mailing address
PO BOX 1270, LONE GROVE, OK 73443-1270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4275
OK
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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