Individual
DR. JACK JOSEPH WEHRLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3303 TRIER RD, FORT WAYNE, IN 46815-4768
(260) 484-4438
(260) 482-6204
Mailing address
3303 TRIER RD, FORT WAYNE, IN 46815-4768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008160A
IN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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