Individual
MR. ADAM B WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
504 W. BROADWAY, AVA, MO 65608
(417) 683-5739
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1351
AK
122300000X
Dentist
Primary
2023015375
MO
Other
Enumeration date
08/11/2010
Last updated
07/30/2024
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