Individual
DR. JOEL C. WIECZOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 W BLACKWELL ST, TULLAHOMA, TN 37388-3556
(931) 461-5533
(931) 461-5533
Mailing address
106 W BLACKWELL ST, TULLAHOMA, TN 37388-3556
(931) 461-5533
(931) 461-5533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000007411
TN
Other
Enumeration date
06/30/2013
Last updated
06/30/2013
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