Organization
AREA DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK H WEAVER DDS (PRESIDENT)
(604) 341-4484
Entity
Organization
Contact information
Practice address
3712 CANYON LAKE DR, RAPID CITY, SD 57702-3198
(604) 342-3939
Mailing address
4716 GUEST RD, RAPID CITY, SD 57702-4815
(604) 341-4484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M366
SD
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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