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Individual

DR. NATHAN WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1530 KOSSUTH ST., LAFAYETTE, IN 47905
(765) 447-0322
Mailing address
1530 KOSSUTH ST., LAFAYETTE, IN 47905
(765) 447-0322

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011838A
IN

Other

Enumeration date
06/22/2012
Last updated
07/30/2014
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