Dwight Wesley Wernquist DDS

NPI 1649437443 - Dentist - 122300000X

NPI Details
NPI 1649437443
Gender Male
Enumeration Date 05/20/2008
Last Updated 05/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4302 D CRYSTAL LK RD
MCHENRY IL, 60050, US
Phone (815) 385-3433
Fax (815) 385-7470
Business Location
4302 D CRYSTAL LK RD
MCHENRY IL, 60050, US
Phone (815) 385-3433
Fax (815) 385-7470
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019012032
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According to our database, Dwight Wesley Wernquist DDS NPI is 1649437443, taxonomy code is 122300000X and license number is 019012032, license state is located at Illinois. Dwight Wesley Wernquist DDS physically located at 4302 D Crystal Lk Rd, Mchenry IL, 60050. NPI Number Dwight Wesley Wernquist DDS has the Individual type.

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1649437443 NPI number is provided on an as is basis without warranty of any kind. 1649437443 is maintained by the National Plan & Provider Enumeration System. The contents of Dwight Wesley Wernquist DDS are for informational purposes only.