Individual
DR. WESLEY ICHESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2330 E STADIUM BLVD, SUITE #1, ANN ARBOR, MI 48104-4820
(747) 973-2727
(734) 973-8858
Mailing address
2330 E STADIUM BLVD, SUITE #1, ANN ARBOR, MI 48104-4820
(747) 973-2727
(734) 973-8858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901013159
MI
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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