DR. IVAN WOLTHUIS, DMD

Dentist

Active Individual
NPI: 1780675090

Practice Address

1524 LONG ST
Sweet Home, OR 97386

Phone: (541) 367-2931

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D7611 (OR)

Frequently Asked Questions

NPI 1780675090 is the National Provider Identifier for DR. IVAN WOLTHUIS, DMD, a Dentist provider located in Sweet Home, OR. This NPI was enumerated on November 4, 2005.
DR. IVAN WOLTHUIS, DMD practices at 1524 LONG ST, Sweet Home, OR 97386.

Quick Facts

NPI
1780675090
Type
Individual
Enumerated
Nov 4, 2005
Last Updated
Jul 8, 2007

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