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NPI Code Detail

MEDICARE: DR. MOLLY ELIZABETH WEBER

MEDICARE:  DR. MOLLY ELIZABETH WEBER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry104198CA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194092544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOLLY ELIZABETH WEBER
Provider Business Mailing Address
First Line : 1403 FOUNTAIN SPRINGS CIR
Second Line :
City : DANVILLE
State : CA
Zip : 94526-5631
Country : US
Telephone Number : 925-819-1815
Fax Number :
Provider Business Practice Location Address
First Line : 1880 PLEASANT VALLEY AVE STE F
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4267
Country : US
Telephone Number : 925-819-1815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2011
Last Update Date : 08/06/2019

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Directions to “ DR. MOLLY ELIZABETH WEBER ” Practice Location

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