Kelly Weaver, DDS
NPI #1578884235 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1578884235
- Entity Type
- Individual
- Name
- Kelly Weaver, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 17, 2010
- Last Updated
- Mar 8, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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Organizations
| Provider Name | |
|---|---|
| Riverside Dental PC | AI Deep Dive |
| Family Dental of Blackfoot LLC | AI Deep Dive |
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