Individual
DR. RICHARD ELWYN WEIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
25415 SE 400TH ST, ENUMCLAW, WA 98022-8815
(360) 825-4952
Mailing address
25415 SE 400TH ST, ENUMCLAW, WA 98022-8815
(360) 825-4952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3866
WA
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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