CLINTON E WEAVER

SANTA ROSA, CA
NPI1407957947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: CA  28254)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
-- CLINTON E WEAVER DDS
1202 FARMERS LN
SANTA ROSA, CA 95405-6707
Phone number: 707-526-7036
Mailing Address
-- CLINTON E WEAVER DDS
1202 FARMERS LN
SANTA ROSA, CA 95405-6707
Phone number: 707-526-7036