John R. Wiens, D.D.S.

NPI #1114368776 in Albany, Oregon

Provider Information

NPI Number: 1114368776
Entity Type: Individual
Name: John R. Wiens, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: D.D.S.
Enumeration Date: Jul 11, 2013
Last Updated: Jul 31, 2020

Practice Location

Address: 1030 29TH AVE SW
City: Albany
State: Oregon
ZIP Code: 97321-3416
Phone: (541) 924-1190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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