DR. Robin A Wetherell, D.M.D.

NPI #1912066390 in Vienna, Illinois

Provider Information

NPI Number: 1912066390
Entity Type: Individual
Name: DR. Robin A Wetherell, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Dec 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 805 N 1ST ST
City: Vienna
State: Illinois
ZIP Code: 62995-1544
Phone: (618) 658-8361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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