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Individual

DR. ADAM BRENT WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2634 ESCALA CIR, SAN DIEGO, CA 92108-6720
(502) 548-7118
(502) 852-7163
Mailing address
2634 ESCALA CIR, SAN DIEGO, CA 92108-6720
(502) 548-7118
(502) 852-7163

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8418
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
57123
CA

Other

Enumeration date
09/13/2006
Last updated
07/11/2008
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