Individual
CHRISTINA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4960 S EMERSON AVE, INDIANAPOLIS, IN 46203-5937
(317) 324-4333
(317) 768-0111
Mailing address
4960 S EMERSON AVE, INDIANAPOLIS, IN 46203-5937
(317) 324-4333
(317) 768-0111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019027049
—
IL
Enumeration date
08/29/2006
Last updated
07/21/2022
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