David R Weller DDS Ms
Dentist, Orthodontics and Dentofacial Orthopedics in University Place, WA. Organization (NPI-2).
NPI number1598839748
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1598839748
- Entity type
- Organization (NPI-2)
- Legal business name
- David R Weller DDS Ms
- Organization subpart
- No
- Enumeration date
- Nov 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | DE00009898 | WA | Yes |
Practice location
4606 Bridgeport Way WUniversity Place, WA 98466
Phone 253-565-0330 · Fax 253-565-0296
Mailing address
4606 Bridgeport Way WUniversity Place, WA 98466
Phone 253-565-0330 · Fax 253-565-0296
Authorized official
David Roberts Weller
President
2535650330
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