Individual
MR. JOHN B WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1909 NE NEFF RD, BEND, OR 97701
(541) 382-3523
(541) 382-8129
Mailing address
1909 NE NEFF RD, BEND, OR 97701
(541) 382-3523
(541) 382-8129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7833
OR
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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