Individual
CHAD J. WIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
808 WINCHESTER DR, SEDALIA, MO 65301-2187
(660) 826-8844
Mailing address
808 WINCHESTER DR, SEDALIA, MO 65301-2187
(660) 826-8844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2009013643
MO
1223G0001X
General Practice Dentistry
60531
KS
Other
Enumeration date
12/18/2007
Last updated
01/11/2021
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