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1124138755
MARK S WEAVER
AUSTIN, TX
NPI
1124138755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TX 10751)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- MARK S WEAVER DDS
4638 WESTGATE BLVD
AUSTIN, TX 78745-1461
Phone number: 512-892-2443
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Mailing Address
-- MARK S WEAVER DDS
4638 WESTGATE BLVD
AUSTIN, TX 78745-1461
Phone number: 512-892-2443
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