| Doctor Name: | CHARLES R WEBER |
| NPI Number: | 1033214861 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DMD |
| License Number: | 8039 |
| Business Practice Address: | 3425 Ensign Rd Ne Suite 310 Olympia, WA - 98506 |
| Business Phone Number: | 3604565678 |
| Business Fax Number: | 3604561238 |
| Mailing Address: | 3425 Ensign Rd Ne, Suite 310 OLYMPIA |
| State: | WA |
| Postal Code: | 98506 |
| Phone Number: | 3604565678 |
| Fax Number: | 3604561238 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | 8039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |