Individual
DR. JACK MICHAEL WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MSD
Contact information
Practice address
78 COURT ST, BINGHAMTON, NY 13901
(607) 723-1941
(607) 723-1306
Mailing address
78 COURT ST, BINGHAMTON, NY 13901
(607) 723-1941
(607) 723-1306
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
028635
NY
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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