| NPI | 1487160438 |
|---|---|
| Former Legal Business Name | LAWRENCE E WEAVER DDS |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M BERRY Office Administrator 850-385-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN13009) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |