| Weber Dental LLC | |
|
17585 W North Ave Suite 260 Brookfield WI 53045-4365 | |
| (262) 782-7120 | |
| (262) 782-0656 |
| Full Name | Weber Dental LLC |
|---|---|
| Speciality | Dentist |
| Location | 17585 W North Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Mathias J Weber (MANAGING MEMBER) |
| Authorized Official Contact | 2627827120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weber Dental LLC 17585 W North Ave Suite 260 Brookfield WI 53045-4365 Ph: (262) 782-7120 | Weber Dental LLC 17585 W North Ave Suite 260 Brookfield WI 53045-4365 Ph: (262) 782-7120 |
| NPI Number | 1679819858 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679819858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4628-015 (Wisconsin) | Primary |
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