DR. William Wofford Weller, DDS
NPI #1245304062 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1245304062
- Entity Type
- Individual
- Name
- DR. William Wofford Weller, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1614 W LAFAYETTE AVE
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1000
- Phone
- (817) 245-4516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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