Individual
JOHN MARK WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
412 W SD HIGHWAY 46, WAGNER, SD 57380-9369
(605) 924-0865
Mailing address
506 REGAL DR, YANKTON, SD 57078-5204
(605) 924-0865
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1186
SD
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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