Waggoner, Tesha Lynn

Waggoner, Tesha Lynn is an individual health care provider with primary practice located at 150 Se 3Rd Ave , Hillsboro OR 97123. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Waggoner, Tesha Lynn can be contacted via phone (503) 213-1257.

Contact Information

Primary practice address
150 Se 3Rd Ave Hillsboro OR 97123
Phone: (503) 213-1257
Fax: (503) 213-1258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DTT 242 Hawaii
Dental Providers / Pediatric Dentistry 1223P0221X D10820 Oregon

Profile Details

NPI number 1821403924
LBN Legal business name Waggoner, Tesha Lynn
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2014
Last updated Aug 27th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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