Individual
DR. GEORGE BURLEIGH WEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3910 85TH ST, KENOSHA, WI 53142-4927
(262) 694-6800
(262) 694-6341
Mailing address
3910 85TH ST, KENOSHA, WI 53142-4927
(262) 694-6800
(262) 694-6341
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5000960015
WI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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