NPI | 1912064767 |
---|---|
Former Legal Business Name | HARVEY R. WEBER DDS PC |
Entity Type | Organization |
Authorized Contact | TRAVIS WATSON Owner/Dentist 505-325-2859 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM 1086) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2023-03-10 |