Jeffrey David Wegener, D.M.D.

NPI #1417211350 in Logan, Utah

Provider Information

NPI Number: 1417211350
Entity Type: Individual
Name: Jeffrey David Wegener, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jun 26, 2012
Last Updated: Aug 26, 2013

Practice Location

Address: 1451 N 200 E STE 200
City: Logan
State: Utah
ZIP Code: 84341-7565
Phone: (435) 753-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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