KELLY WEAVER, DDS

DDS

Dentist

NPI: 1578884235Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

D4298(ID)

Contact & Hours

Address: 310 W IDAHO ST
BLACKFOOT, ID 83221
Phone: (208) 785-2255

Quick Facts

NPI: 1578884235
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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