TESHA WAGGONER DMD PC is a pediatric dentistry dentist in Portland, OR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. TESHA WAGGONER DMD PC NPI is 1790558997. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5415 SW WESTGATE DR.
SUITE 207
PORTLAND, OR
ZIP 97221
Phone: (503) 292-9274
Fax: (503) 445-0043
The provider's authorized official is Tesha Lynn Waggoner .
The authorized official title is Owner and has the following contact phone number (503) 292-9274.
The enumeration date for this NPI number is 10/31/2023 and was last updated on 10/31/2023.