Organization
WHEELER FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL IVAN WHEELER DMD (OWNER/MANAGER)
(541) 938-7752
Entity
Organization
Contact information
Practice address
1 SW 8TH AVE, MILTON FREEWATER, OR 97862-1595
(541) 938-7752
(541) 938-3093
Mailing address
1 SW 8TH AVE, MILTON FREEWATER, OR 97862-1595
(541) 938-7752
(541) 938-3093
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8975
OR
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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