Organization
DR CASEY WEBER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASEY WEBER DDS (OWNER)
(337) 356-5262
Entity
Organization
Contact information
Practice address
1601 KALISTE SALOOM RD, LAFAYETTE, LA 70508-6109
(337) 704-2126
Mailing address
1101 BROADMOOR BLVD, LAFAYETTE, LA 70503-5209
(337) 356-5262
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6676
LA
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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