Organization
WIKLE DENTISTRY LLC
Active
Other names
Wikle Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON WIKLE D.M.D. (REGISTERED AGENT/MEMBER/MANAGER)
(503) 726-8295
Entity
Organization
Contact information
Practice address
3900 DOUGLAS WAY, LAKE OSWEGO, OR 97035-3446
(503) 636-8446
(503) 636-4446
Mailing address
3900 DOUGLAS WAY, LAKE OSWEGO, OR 97035-3446
(503) 636-8446
(503) 636-4446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9575
OR
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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