Individual
JODIE ROCHELLE WERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
300 N MAIN ST, RUSSELL, KS 67665-2731
(785) 483-2411
Mailing address
1318 JUDITH DR APT B, HAYS, KS 67601-4829
(620) 290-2257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61403
KS
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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