Triton Dental, LLC

NPI #1134660913 in Oakhurst, California

Provider Information

NPI Number: 1134660913
Entity Type: Organization
Organization Name: Triton Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 14, 2017
Last Updated: Mar 14, 2017

Practice Location

Address: 49722 ROAD 426
Address 2: SUITE 104
City: Oakhurst
State: California
ZIP Code: 93644-9047
Phone: (559) 683-4662

Authorized Official

Name: DR. TIMOTHY MICHAEL WIEG, D.D.S.
Title: CLINICAL DIRECTOR
Phone: (909) 269-1277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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