Individual
DR. BRENT ALAN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9024 SNIKTAW LN, FORT JONES, CA 96032
(530) 468-4470
Mailing address
9024 SNIKTAW LN, FORT JONES, CA 96032-9408
(530) 468-4470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS27934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2793401
HEALTHY FAMILIES PROV #
CA
01
—
G9321701
DENTI CAL BILLING PROV #
CA
Enumeration date
08/30/2006
Last updated
05/15/2018
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