DR. Jody Lynn Wrathall, D.D.S., M.S.
NPI #1306142815 in Portage, Michigan
Provider Information
- NPI Number
- 1306142815
- Entity Type
- Individual
- Name
- DR. Jody Lynn Wrathall, D.D.S., M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S., M.S.
- Enumeration Date
- Jan 31, 2011
- Last Updated
- Mar 17, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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