Individual
DR. JOSHUA L. WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 NE 3RD AVE, CANBY, OR 97013
(503) 266-2629
(503) 266-2625
Mailing address
150 NE 3RD AVE., CANBY, OR 97013
(503) 266-2629
(503) 266-2625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7842
OR
1223G0001X
General Practice Dentistry
D7842
OR
Other
Enumeration date
10/21/2008
Last updated
04/11/2014
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