DR. Dantel Weaver, DDS
NPI #1629451471 in Spring Park, Minnesota
Provider Information
- NPI Number
- 1629451471
- Entity Type
- Individual
- Name
- DR. Dantel Weaver, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 29, 2015
- Last Updated
- Dec 12, 2016
Practice Location
- Address
- 4100 SHORELINE DR
- City
- Spring Park
- State
- Minnesota
- ZIP Code
- 55384-4508
- Phone
- (952) 471-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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