Individual
KELLY B WETTSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5970 S. COOPER RD, SUITE #1, CHANDLER, AZ 85249
(480) 814-8888
(480) 814-1553
Mailing address
21321 E OCOTILLO RD, STE 130, QUEEN CREEK, AZ 85142-5995
(480) 249-0499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6572
AZ
Other
Enumeration date
09/14/2006
Last updated
01/15/2016
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