Clyde A Weaver DDS MS PC

NPI 1861503104 - Dentist - 1223X0400X

NPI Details
NPI 1861503104
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
807 TURTLE CREEK
TYLER TX, 75701, US
Phone (903) 597-6372
Fax (903) 592-8482
Business Location
807 TURTLE CREEK
TYLER TX, 75701, US
Phone (903) 597-6372
Fax (903) 592-8482
Toxanomy
Taxonomy Code 1223X0400X
License State Texas
License Number 9406
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According to our database, Dr. Clyde A Weaver DDS MS PC NPI is 1861503104, taxonomy code is 1223X0400X and license number is 9406, license state is located at Texas. Clyde A Weaver DDS MS PC physically located at 807 Turtle Creek, Tyler TX, 75701. NPI Number Clyde A Weaver DDS MS PC has the Individual type.

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1861503104 NPI number is provided on an as is basis without warranty of any kind. 1861503104 is maintained by the National Plan & Provider Enumeration System. The contents of Clyde A Weaver DDS MS PC are for informational purposes only.