NPI | 1891087672 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE E WEAVER Owner/Dentist 850-385-2003 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13009) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2011-05-11 |