Chad Wierlo, DMD

NPI #1497278121 in Fort Sill, Oklahoma

Provider Information

NPI Number: 1497278121
Entity Type: Individual
Name: Chad Wierlo, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 25, 2017
Last Updated: Jul 25, 2017

Practice Location

Address: 652 HAMILTON RD
Address 2: USA DENTAL HEALTH ACTIVITY
City: Fort Sill
State: Oklahoma
ZIP Code: 73503
Phone: (580) 442-3905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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