Individual
THOMAS WAYNE WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
94223 4TH ST, GOLD BEACH, OR 97444
(541) 247-7332
(541) 247-9204
Mailing address
PO BOX 772, GOLD BEACH, OR 97444
(541) 247-7332
(541) 247-9204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4990
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215277
—
OR
Enumeration date
01/23/2008
Last updated
01/23/2008
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