Individual
AARON WIKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
17471 SHELLEY AVE, SUITE A, SANDY, OR 97055-8084
(503) 668-4655
Mailing address
5851 SW KAHLE RD, WILSONVILLE, OR 97070-9727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9575
OR
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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