DR. Ivan H. Wolthuis, DMD
NPI #1780675090 in Sweet Home, Oregon
Provider Information
- NPI Number
- 1780675090
- Entity Type
- Individual
- Name
- DR. Ivan H. Wolthuis, DMD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Nov 4, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1524 LONG ST
- City
- Sweet Home
- State
- Oregon
- ZIP Code
- 97386-2313
- Phone
- (541) 367-2931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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