Individual
DR. TED C WEESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18676 WILLAMETTE DRIVE, SUITE 303, WEST LINN, OR 97008-1718
(503) 636-7010
(503) 636-9851
Mailing address
18676 WILLAMETTE DRIVE, SUITE 303, WEST LINN, OR 97008-1718
(503) 636-7010
(503) 636-9851
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D8267
OR
Other
Enumeration date
07/08/2006
Last updated
05/13/2008
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