Individual
DR. DAVID B. WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2330 NW FLANDERS ST STE 204, PORTLAND, OR 97210-3460
(503) 223-5040
(503) 222-3101
Mailing address
2330 NW FLANDERS ST STE 204, PORTLAND, OR 97210-3460
(503) 223-5040
(503) 222-3101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6828
OR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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