TESHA WAGGONER DMD PC

PORTLAND, OR
NPI1790558997
Entity TypeOrganization
Authorized ContactTESHA LYNN WAGGONER
Owner
503-292-9274
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2023-10-31
Last Update Date2023-10-31
Business Address
TESHA WAGGONER DMD PC
5415 SW WESTGATE DR. SUITE 207
PORTLAND, OR 97221
Phone number: 503-292-9274
Mailing Address
TESHA WAGGONER DMD PC
5415 SW WESTGATE DR. SUITE 207
PORTLAND, OR 97221
Phone number: 503-292-9274