Organization
WEBER FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY STEPHEN WEBER DDS (OWNER/MEMBER)
(507) 263-3965
Entity
Organization
Contact information
Practice address
925 4TH STREET SOUTH, CANNON FALLS, MN 55009
(507) 263-3965
(507) 263-9485
Mailing address
PO BOX 15, CANNON FALLS, MN 55009
(507) 263-3965
(507) 263-9485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
10/29/2014
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