Organization
WEIMER DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS JON WEIMER DDS (OWNER)
(541) 805-0389
Entity
Organization
Contact information
Practice address
8336 W NORTHVIEW ST, BOISE, ID 83704-7132
(208) 375-4544
Mailing address
186 MOUNTAIN VISTA AVE SE, SALEM, OR 97306-9168
(541) 805-0389
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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