Individual
PAUL FREDERICK WERRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1911 N LEBANON ST, LEBANON, IN 46052-1506
(765) 482-4538
(765) 482-6640
Mailing address
1911 N LEBANON ST, LEBANON, IN 46052-1506
(765) 482-4538
(765) 482-6640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7398
IN
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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