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1487767497
TIMOTHY JAY WEAVER
EDMONDS, WA
NPI
1487767497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA de00006724)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY JAY WEAVER dds
21701 76TH AVE W 202
EDMONDS, WA 98026-7536
Phone number: 425-744-1724
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Mailing Address
Dr. TIMOTHY JAY WEAVER dds
21701 76TH AVE W 202
EDMONDS, WA 98026-7536
Phone number: 425-744-1724
Copy
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