| Wilsonville Dental Group | |
|
29292 Sw Town Center Loop E Wilsonville OR 97070-9491 | |
| (503) 682-0431 | |
| (503) 682-3873 |
| Full Name | Wilsonville Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29292 Sw Town Center Loop E, Wilsonville, Oregon |
| Authorized Official Name and Position | Joshua L Wieland (PARTNER) |
| Authorized Official Contact | 5036820431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilsonville Dental Group 29292 Sw Town Center Loop E Wilsonville OR 97070-9491 Ph: (503) 682-0431 | Wilsonville Dental Group 29292 Sw Town Center Loop E Wilsonville OR 97070-9491 Ph: (503) 682-0431 |
| NPI Number | 1003046731 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003046731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7842 (Oregon) | Primary |
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