Douglas W Weber, DDS

NPI #1093899684 in Michigan City, Indiana

Provider Information

NPI Number: 1093899684
Entity Type: Individual
Name: Douglas W Weber, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1213 E COOLSPRING AVENUE
Address 2: COOLSPRING DENTAL CLINIC
City: Michigan City
State: Indiana
ZIP Code: 46360
Phone: (219) 872-9151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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