Individual
DR. KEVYN RICHARD WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9900 LINCOLN ST, 2ND, FLOOR, TACOMA, WA 98431-0001
(253) 968-4039
(253) 968-5919
Mailing address
9900 LINCOLN ST, 2ND, FLOOR, TACOMA, WA 98431-0001
(253) 968-4039
(253) 968-5919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D8291
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8291
OR
Other
Enumeration date
01/16/2007
Last updated
04/05/2023
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