Organization
WEBER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN A. WEBER DDS (PARTNER)
(712) 527-4801
Entity
Organization
Contact information
Practice address
208 N WALNUT ST, GLENWOOD, IA 51534-1426
(712) 527-4801
(712) 527-4821
Mailing address
208 N WALNUT ST, GLENWOOD, IA 51534-1426
(712) 527-4801
(712) 527-4821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5354
IA
1223G0001X
General Practice Dentistry
Primary
6921
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113308
—
IA
05
—
0212704
—
IA
Enumeration date
01/16/2007
Last updated
08/22/2020
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