Organization
ASSOCIATED DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS FREDRICK WEILER DDS (OWNER/DENTIST)
(509) 768-7635
Entity
Organization
Contact information
Practice address
1912 N DIVISION ST, STE 101, SPOKANE, WA 99207-2230
(509) 326-5620
(509) 326-4686
Mailing address
1912 N DIVISION ST, STE 101, SPOKANE, WA 99207-2230
(509) 326-5620
(509) 326-4686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5502
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5012455
—
WA
Enumeration date
09/07/2016
Last updated
09/07/2016
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