Wismer, Ronald David

Wismer, Ronald David is an individual health care provider with primary practice located at 14125 Sw Farmington Rd , Beaverton OR 97005-2567. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wismer, Ronald David can be contacted via phone (503) 646-3169.

Contact Information

Primary practice address
14125 Sw Farmington Rd Beaverton OR 97005-2567
Fax: (503) 646-1667
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4284 Oregon

Profile Details

NPI number 1124023627
LBN Legal business name Wismer, Ronald David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 8th, 2007 - about 17 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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