Individual
TIMOTHY DAVID WEZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST DDS
Contact information
Practice address
926 EAST WHIDBEY AVE, OAK HARBOR, WA 98277
(360) 679-1581
(360) 679-4818
Mailing address
926 EAST WHIDBEY AVE, OAK HARBOR, WA 98277
(360) 679-1581
(360) 679-4818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825393
UNITED CONCORDIA
—
Enumeration date
08/16/2006
Last updated
07/08/2007
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