Individual
RICHARD WETHERILL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1209 FLORAL PKWY, SUITE A, WILMINGTON, NC 28403-6216
(910) 792-1085
(910) 792-6184
Mailing address
1209 FLORAL PKWY, SUITE A, WILMINGTON, NC 28403-6216
(910) 792-1085
(910) 792-6184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6892
NC
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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