Kenneth B Weddell DDS PC

NPI #1730161175 in Fremont, Michigan

Provider Information

NPI Number: 1730161175
Entity Type: Organization
Organization Name: Kenneth B Weddell DDS PC
Primary Specialty: Dentist
Enumeration Date: Nov 18, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 111 W DAYTON ST
City: Fremont
State: Michigan
ZIP Code: 49412-1112
Phone: (231) 924-3600

Authorized Official

Name: DR. KENNETH B WEDDELL, DDS
Title: REPRESENTATIVE
Phone: (231) 924-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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