Organization
PROGRESS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON L WIKLE DMD (DENTIST)
(503) 726-8295
Entity
Organization
Contact information
Practice address
17680 SW HANDLEY ST, STE 101, SHERWOOD, OR 97140-9255
(503) 925-9595
(503) 925-9626
Mailing address
17680 SW HANDLEY ST, STE 101, SHERWOOD, OR 97140-9255
(503) 925-9595
(503) 925-9626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9575
OR
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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