Dantel Weaver, DDS Valid NPI

Individual provider · General Practice Dentistry · Spring Park, MN

NPI

1629451471

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D13769 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2015-06-29

Last updated

2016-12-12