Diane Renee Weidley, RDH

NPI #1891924403 in Polacca, Arizona

Provider Information

NPI Number: 1891924403
Entity Type: Individual
Name: Diane Renee Weidley, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jul 6, 2009
Last Updated: Jul 6, 2009

Practice Location

Address: HWY 264, MPP 388
City: Polacca
State: Arizona
ZIP Code: 86042
Phone: (928) 737-6169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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