Individual
GERALD WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6240 MCKINLEY RD, COTTRELLVILLE, MI 48039-1119
(810) 278-6166
Mailing address
6240 MCKINLEY RD, COTTRELLVILLE, MI 48039-1119
(810) 278-6166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021266
MI
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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