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Individual

DR. JAMES LEWIS WETZEL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
932 S DAVID ST, CASPER, WY 82601-3738
(307) 237-8419
(307) 234-4912
Mailing address
932 S DAVID ST, CASPER, WY 82601-3738
(307) 237-8419
(307) 234-4912

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
546
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123677600
WY
Enumeration date
04/30/2008
Last updated
04/30/2008
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