Individual
DONALD W WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 REGENT CT, STATE COLLEGE, PA 16801-7966
(814) 234-2428
(814) 231-0110
Mailing address
110 REGENT CT, STATE COLLEGE, PA 16801-7966
(814) 234-2428
(814) 231-0110
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS020540L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112944
UNITED CONCORDIA
PA
Enumeration date
07/19/2006
Last updated
07/08/2007
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