DR. Ryan Weaver, DDS

NPI #1760918833 in Vance Afb, Oklahoma

Provider Information

NPI Number: 1760918833
Entity Type: Individual
Name: DR. Ryan Weaver, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 10, 2017
Last Updated: Jun 17, 2022

Practice Location

Address: 527 GOTT ROAD
City: Vance Afb
State: Oklahoma
ZIP Code: 73705-5105
Phone: (208) 964-5306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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