Individual
DR. WESLEY JOSEPH WALDREP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
450 NEW MARKET BLVD STE 4, BOONE, NC 28607-5501
(828) 264-3211
Mailing address
450 NEW MARKET BLVD STE 4, BOONE, NC 28607-5501
(828) 264-3211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4656
SC
122300000X
Dentist
Primary
9463
NC
Other
Enumeration date
09/03/2009
Last updated
06/03/2013
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