Organization
DAVID C WERTZ DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHARLES WERTZ DDS (PRESIDENT)
(563) 556-3555
Entity
Organization
Contact information
Practice address
2615 DODGE ST, DUBUQUE, IA 52003-7123
(563) 556-3555
(563) 556-8379
Mailing address
2615 DODGE ST, DUBUQUE, IA 52003-7123
(563) 556-3555
(563) 556-8379
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5979
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128256
—
IA
Enumeration date
02/20/2007
Last updated
08/22/2020
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