DR. Todd Samuel Weller, D.M.D.

NPI #1982667127 in Fairchild Afb, Washington

Provider Information

NPI Number: 1982667127
Entity Type: Individual
Name: DR. Todd Samuel Weller, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Apr 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 701 HOSPITAL LOOP
City: Fairchild Afb
State: Washington
ZIP Code: 99011-8704
Phone: (509) 247-5829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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