Individual
RICHARD MICHAEL WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3455 STONEMAN RD, DUBUQUE, IA 52002-5269
(563) 556-0234
Mailing address
3455 STONEMAN RD, DUBUQUE, IA 52002-5269
(563) 556-0234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6347
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150755
—
IA
Enumeration date
11/02/2006
Last updated
07/08/2007
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