Individual
DR. BRIAN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3757 MARYWEATHER LN, 101, WESLEY CHAPEL, FL 33544-7789
(813) 907-7668
Mailing address
3757 MARYWEATHER LN, 101, WESLEY CHAPEL, FL 33544-7789
(813) 907-7668
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN17840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206628
—
MA
Enumeration date
01/09/2007
Last updated
12/06/2007
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