Individual
DR. GREGORY W WEAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
84 THOMAS JOHNSON CT, SUITE A, FREDERICK, MD 21702-4348
(301) 473-4970
Mailing address
5589 JOLLIE DR, FREDERICK, MD 21702
(301) 473-4970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9204
MD
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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