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1962425538
DANIEL A WEAVER
LAKE CHARLES, LA
NPI
1962425538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5219)
Enumeration Date
2006-07-25
Last Update Date
2012-01-19
Business Address
Dr. DANIEL A WEAVER DDS
715 W COLLEGE ST
LAKE CHARLES, LA 70605-1523
Phone number: 337-478-3123
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Mailing Address
Dr. DANIEL A WEAVER DDS
715 W COLLEGE ST
LAKE CHARLES, LA 70605-1523
Phone number: 337-478-3123
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