Individual
STEVEN WETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
343 N COURT STREET, OTTUMWA, IA 52501
(641) 682-8016
Mailing address
343 N COURT STREET, OTTUMWA, IA 52501
(641) 682-8016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7244
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042879
—
IA
01
—
249029
DELTA INS
—
Enumeration date
11/03/2006
Last updated
07/08/2007
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