Roger T Wetzel, DDS

NPI #1134251523 in Rantoul, Illinois

Provider Information

NPI Number: 1134251523
Entity Type: Individual
Name: Roger T Wetzel, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1421 PINE AVE
City: Rantoul
State: Illinois
ZIP Code: 61866-2019
Phone: (217) 892-2176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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