Provider Demographics
NPI:1437570959
Name:WEBER & MALEK DENTAL GROUP
Entity Type:Organization
Organization Name:WEBER & MALEK DENTAL GROUP
Other - Org Name:SANTA BARBARA DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:EBEJER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-682-0282
Mailing Address - Street 1:2411 BATH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4324
Mailing Address - Country:US
Mailing Address - Phone:805-682-0282
Mailing Address - Fax:805-682-8364
Practice Address - Street 1:2411 BATH ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4324
Practice Address - Country:US
Practice Address - Phone:805-682-0282
Practice Address - Fax:805-682-8364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA518581223G0001X
CA621571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty