Timothy D Wezeman Dds Pc | |
926 E Whidbey Ave Oak Harbor WA 98277-2674 | |
(360) 679-1581 | |
(360) 679-4818 |
Full Name | Timothy D Wezeman Dds Pc |
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Speciality | Clinic/center - Dental |
Location | 926 E Whidbey Ave, Oak Harbor, Washington |
Authorized Official Name and Position | Timothy D Wezeman (OWNER) |
Authorized Official Contact | 3606791581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Timothy D Wezeman Dds Pc 926 E Whidbey Ave Oak Harbor WA 98277-2674 Ph: (360) 679-1581 | Timothy D Wezeman Dds Pc 926 E Whidbey Ave Oak Harbor WA 98277-2674 Ph: (360) 679-1581 |
NPI Number | 1992944698 |
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Provider Enumeration Date | 02/19/2009 |
Last Update Date | 02/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992944698 | NPI | - | NPPES |
4813 | Other | WA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4813 (Washington) | Primary |
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