Organization
DAVID R WELLER DDS MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERTS WELLER DDS MS (PRESIDENT)
(253) 565-0330
Entity
Organization
Contact information
Practice address
4606 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466
(253) 565-0330
(253) 565-0296
Mailing address
4606 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466
(253) 565-0330
(253) 565-0296
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00009898
WA
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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