DR. Kenneth Bruce Weddell, DDS

NPI #1104884147 in Fremont, Michigan

Provider Information

NPI Number: 1104884147
Entity Type: Individual
Name: DR. Kenneth Bruce Weddell, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 111 W DAYTON ST
City: Fremont
State: Michigan
ZIP Code: 49412
Phone: (231) 924-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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