Organization
KOLIN E. WEAVER, DDS, MS, INC.
Active
Other names
Weaver Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOLIN EMRYS WEAVER DDS (PRESIDENT/ ORTHODONTIST)
(870) 972-5445
Entity
Organization
Contact information
Practice address
2316 RED WOLF BLVD STE C, JONESBORO, AR 72401-6360
(870) 972-5445
Mailing address
2316 RED WOLF BLVD STE C, JONESBORO, AR 72401-6360
(870) 972-5445
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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