Weaver, Clinton E

Weaver, Clinton E is an sole proprietor health care provider with primary practice located at 1202 Farmers Ln , Santa Rosa CA 95405-6707. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Weaver, Clinton E can be contacted via phone (707) 526-7036.

Contact Information

Primary practice address
1202 Farmers Ln Santa Rosa CA 95405-6707
Phone: (707) 526-7036
Fax: (707) 526-4569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 28254 California

Profile Details

NPI number 1407957947
LBN Legal business name Weaver, Clinton E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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