# PINON HILLS DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harvey R. Weber DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912064767
- **Authorized official:** TRAVIS WATSON DDS (OWNER/DENTIST)
- **Authorized official phone:** (505) 325-2859

## Contact information

- **Practice address:** 4725 FOOTHILLS DRIVE, SUITE A, FARMINGTON, NM 87402
- **Practice address phone:** (505) 325-2859
- **Practice address fax:** (505) 325-1130
- **Mailing address:** 4725 FOOTHILLS DRIVE, SUITE A, FARMINGTON, NM 87402
- **Mailing address phone:** (505) 325-2859
- **Mailing address fax:** (505) 325-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1086 | NM | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 03/10/2023