# KRISTINA B WELLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740630326
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1001442 - 15 | WI | — |
| 122300000X | Dentist | 2901022135 | MI | Yes |
| 122300000X | Dentist | D14328 | MN | — |

## Other

- **Enumeration date:** 06/15/2016
- **Last updated:** 04/13/2020