Individual
DR. ANNE WETMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
853 11TH AVE, NEW YORK, NY 10019
(347) 305-2791
Mailing address
853 11TH AVE, NEW YORK, NY 10019
(347) 305-2791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06040601
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2017
Last updated
02/07/2020
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