| NPI | 1083048011 |
|---|---|
| Other Name | WEAVER & STRATTON PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ANDREW WEAVER Business Manager 904-264-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2020-08-17 |