Organization
TED C WEESNER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA L ANDERSON (OFFICE MANAGER)
(503) 636-7010
Entity
Organization
Contact information
Practice address
18676 WILLAMETTE DR STE 303, WEST LINN, OR 97068-1718
(503) 636-7010
(503) 636-9851
Mailing address
18676 WILLAMETTE DR STE 303, WEST LINN, OR 97068-1718
(503) 636-7010
(503) 636-9851
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D8267
OR
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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