Individual
DR. JILL MARIE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
31099 CHAGRIN BLVD, SUITE 100, PEPPER PIKE, OH 44124-5958
(216) 450-5888
Mailing address
31099 CHAGRIN BLVD, SUITE 100, PEPPER PIKE, OH 44124-5958
(216) 450-5888
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019.028200
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30-023327
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075390
—
OH
Enumeration date
04/29/2008
Last updated
06/10/2013
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