Organization
GREGORY W WEAKLEY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY W WEAKLEY (OWNER)
(301) 662-9133
Entity
Organization
Contact information
Practice address
84 THOMAS JOHNSON CT, SUITE A, FREDERICK, MD 21702-4348
(301) 662-9133
(301) 694-2941
Mailing address
84 THOMAS JOHNSON CT, SUITE A, FREDERICK, MD 21702-4348
(301) 662-9133
(301) 694-2941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9204
MD
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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