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Organization

SUPRGEON W WEBBER III DDS TA

Active
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Organization

SUPRGEON W WEBBER III DDS TA

Active
Parent organization
SUPRGEON W WEBBER III DDS TA
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUPRGEON W WEBBER III DDS TA
Authorized official
SUPRGEON W WEBBER III DDS (DDS)
(704) 247-4030
Entity
Organization

Contact information

Practice address
5970 FAIRVIEW RD, SUITE 120, CHARLOTTE, NC 28210-3167
(704) 247-4030
Mailing address
5970 FAIRVIEW RD, SUITE 120, CHARLOTTE, NC 28210-3167
(704) 247-4030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—

Other

Enumeration date
03/13/2013
Last updated
03/13/2013
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