Individual
DR. RICHARD ALAN VANDERWEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5955 ZEAMER AVE, 3RD DS/SGD, ELMENDORF AFB, AK 99506-3702
(907) 580-2973
(907) 580-5022
Mailing address
5955 ZEAMER AVE, 3RD DS/SGD, ELMENDORF AFB, AK 99506-3702
(907) 580-2973
(907) 580-5022
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS-029913-L
PA
Other
Enumeration date
10/14/2005
Last updated
10/28/2008
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