Individual
ANDREW FREDERICK WETTERLIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13730 MILLERVILLE GREENS BLVD, BATON ROUGE, LA 70816-1696
(225) 234-0713
Mailing address
324 SILVER CREEK DR, VICKSBURG, MS 39180-5484
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7139
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D12943
MN
Other
Enumeration date
04/04/2011
Last updated
10/22/2020
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