Individual
DR. JEROME P WELLBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
15 W SOUTHERN AVE, COVINGTON, KY 41015-1481
(859) 491-1266
(859) 491-1244
Mailing address
15 W SOUTHERN AVE, COVINGTON, KY 41015-1481
(859) 491-1266
(859) 491-1244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5122
KY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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