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Individual

DR. DAVID SCOTT WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4841 MONROE ST STE 255, TOLEDO, OH 43623-4350
(419) 474-3100
Mailing address
4841 MONROE ST STE 255, TOLEDO, OH 43623-4350
(419) 474-3100

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13585
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0244971
OH
Enumeration date
08/20/2007
Last updated
08/20/2007
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