Individual
DR. JONATHAN S WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2600 DENALI ST, SUITE 500, ANCHORAGE, AK 99503-2746
(907) 277-2600
Mailing address
12350 INDUSTRY WAY, STE 210, ANCHORAGE, AK 99515-4301
(907) 345-7722
(907) 345-6734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1298
AK
Other
Enumeration date
07/08/2009
Last updated
02/23/2016
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