DR. Douglas Glen Walesheck, D.D.S.

NPI #1043295132 in Saint Paul, Minnesota

Provider Information

NPI Number
1043295132
Entity Type
Individual
Name
DR. Douglas Glen Walesheck, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Dec 12, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1346 PAYNE AVE
ZIP Code
55101-3434
Phone
(651) 774-6085

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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