Individual
GREGORY JAMES WETTERHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3920 10TH ST SE, PUYALLUP, WA 98374
(253) 845-7800
(253) 845-3622
Mailing address
3920 10TH ST SE, PUYALLUP, WA 98374
(253) 845-7800
(253) 845-3622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6756
WA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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