Individual
DR. BENJAMIN J WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1075 FARMINGTON AVE, WEST HARTFORD, CT 06107-2114
(860) 313-0538
Mailing address
1075 FARMINGTON AVE, WEST HARTFORD, CT 06107-2114
(860) 313-0538
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9885
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
07/19/2007
Last updated
02/04/2010
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