Individual
JESSICA WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
123 HOSPITAL DR STE 201, WATERTOWN, WI 53098-3320
(920) 261-0588
Mailing address
14235 SUNRISE AVE, BROOKFIELD, WI 53005-1122
(262) 408-0874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001162-15
WI
Other
Enumeration date
04/07/2022
Last updated
06/22/2023
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