Individual
DR. KEVEN D WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1516 LEGACY CIR STE 104, NAPERVILLE, IL 60563-1253
(630) 505-1516
(630) 505-1601
Mailing address
1516 LEGACY CIR STE 104, NAPERVILLE, IL 60563-1253
(630) 505-1516
(630) 505-1601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026710
IL
Other
Enumeration date
04/13/2007
Last updated
09/22/2020
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