Individual
DR. CONOR M WIERUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9330 BEN C PRATT/6 MILE CYPRESS PKWY, FORT MYERS, FL 33966-6505
(239) 337-1008
Mailing address
9330 BEN C PRATT/6 MILE CYPRESS PKWY, FORT MYERS, FL 33966-6505
(239) 337-1008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25773
FL
1223G0001X
General Practice Dentistry
019.032978
IL
Other
Enumeration date
01/12/2021
Last updated
04/15/2021
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