Organization
KOLIN E. WEAVER, DDS, MS, INC.
Active
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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