JACK H WEAVER

RAPID CITY, SD
NPI1043238389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SD  m366)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
Dr. JACK H WEAVER DDS
3712 CANYON LAKE DR
RAPID CITY, SD 57702-3198
Phone number: 605-342-3939
Mailing Address
Dr. JACK H WEAVER DDS
4716 GUEST RD
RAPID CITY, SD 57702-4815
Phone number: 605-484-4484
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