Individual
LESLIE DEAN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
289 E ELLENDALE AVE, SUITE 204, DALLAS, OR 97338-1580
(503) 623-2666
Mailing address
7240 HILDA ST SE, SALEM, OR 97301-9255
(503) 588-8751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6002
OR
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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