Erwin Weichel Dmd Ms Pc | |
18761 Sw Martinazzi Ave Tualatin OR 97062-6808 | |
(503) 691-8900 | |
(503) 691-8992 |
Full Name | Erwin Weichel Dmd Ms Pc |
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Speciality | Dentist - Periodontics |
Location | 18761 Sw Martinazzi Ave, Tualatin, Oregon |
Authorized Official Name and Position | Erwin Weichel (PERIODONTIST/OWNER) |
Authorized Official Contact | 5036918900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Erwin Weichel Dmd Ms Pc 18761 Sw Martinazzi Ave Tualatin OR 97062-6808 Ph: (503) 691-8900 | Erwin Weichel Dmd Ms Pc 18761 Sw Martinazzi Ave Tualatin OR 97062-6808 Ph: (503) 691-8900 |
NPI Number | 1952550048 |
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Provider Enumeration Date | 09/12/2008 |
Last Update Date | 09/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952550048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | D5369 (Oregon) | Primary |
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