Gary L Weller

NPI 1023052123 - Dentist - 1223G0001X

NPI Details
NPI 1023052123
Gender Male
Enumeration Date 06/16/2006
Last Updated 11/24/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
64 GROVE ST
PUTNAM CT, 06260-2110, US
Phone (860) 928-4352
Fax
Business Location
64 GROVE ST
PUTNAM CT, 06260-2110, US
Phone (860) 928-4352
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 9295
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According to our database, Dr. Gary L Weller NPI is 1023052123, taxonomy code is 1223G0001X and license number is 9295, license state is located at Connecticut. Gary L Weller physically located at 64 Grove St, Putnam CT, 06260-2110. NPI Number Gary L Weller has the Individual type.

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1023052123 NPI number is provided on an as is basis without warranty of any kind. 1023052123 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L Weller are for informational purposes only.