Individual
DR. TODD SAMUEL WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-5829
Mailing address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-5829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE8663
WA
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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