Individual
WESLEY J. CHLADNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4012 O'HALLORN, SUITE B, THOMPSONS STATION, TN 37179
(217) 840-6271
Mailing address
3632 RONSTADT RD, THOMPSONS STATION, TN 37179-0620
(217) 840-6271
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021.002246
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9946
TN
Other
Enumeration date
07/08/2008
Last updated
02/26/2020
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