DANIEL A WEAVER

LAKE CHARLES, LA
NPI1962425538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  5219)
Enumeration Date2006-07-25
Last Update Date2012-01-19
Business Address
Dr. DANIEL A WEAVER DDS
715 W COLLEGE ST
LAKE CHARLES, LA 70605-1523
Phone number: 337-478-3123
Mailing Address
Dr. DANIEL A WEAVER DDS
715 W COLLEGE ST
LAKE CHARLES, LA 70605-1523
Phone number: 337-478-3123