Individual
DR. ANDREW C DE WET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
903 E AIRPORT RD, MENASHA, WI 54952-1942
(920) 215-4160
Mailing address
161 S RIVERHEATH WAY APT 407, APPLETON, WI 54915-8414
(920) 268-5978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
600103615
WI
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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