Individual
DR. GARY V WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3825 LINGLESTOWN RD, HARRISBURG, PA 17110-3631
(717) 652-3887
(717) 652-9509
Mailing address
3825 LINGLESTOWN RD, HARRISBURG, PA 17110-3631
(717) 652-3887
(717) 652-9509
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS019985L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535995
PROVIDER #UCCI
PA
Enumeration date
01/25/2007
Last updated
07/08/2007
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