Dr. Wendi Weaver, DDS
Dentist in Waco, TX. Individual provider (NPI-1).
NPI number1114101821
StatusActive
Last updated in NPPESApr 29, 2013
Details
- NPI
- 1114101821
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wendi Weaver
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2007
- Last updated
- Apr 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 18876 | TX | Yes |
Practice location
1800 Gurley LaneWaco, TX 76706
Phone 254-313-6000 · Fax 254-313-4531
Mailing address
1600 Providence DrWaco, TX 76707-2261
Phone 254-313-4200 · Fax 254-313-4326
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