Leslie Dean Wheeler, DDS

NPI #1962570366 in Dallas, Oregon

Provider Information

NPI Number: 1962570366
Entity Type: Individual
Name: Leslie Dean Wheeler, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 289 E ELLENDALE AVE
Address 2: SUITE 204
City: Dallas
State: Oregon
ZIP Code: 97338-1580
Phone: (503) 623-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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