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DOUGLAS S WEAVER DDS APC

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1437281094

Organizational Registrant:
Organization Name:  DOUGLAS S WEAVER DDS APC
Organization is not Subpart
Authorized Official:  DOUGLAS S WEAVER  PRESIDENT  907--58-63220

Location and contact information for practice:
326 4TH ST STE 205  JUNEAU, AK 99801-1167 US
Tel: 907-586-3220  Fax: 907-586-2905

Contact information for business:
326 4TH ST STE 205  JUNEAU, AK 99801-1167 US
Tel: 907-586-3220  Fax: 907-586-2905

Registration Information:
NPI: 1437281094
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AK492

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DD0492AK05
NPI PROVIDER ENUMERATOR1447226360AK01




HEALTH CARE JOBS AK - Page 1



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