JOEL WIERSUM SR., DDS
Dentist
Active
Individual
NPI: 1467462341
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | AA799 (AK) |
Frequently Asked Questions
NPI 1467462341 is the National Provider Identifier for JOEL WIERSUM SR., DDS, a Dentist provider located in Kodiak, AK. This NPI was enumerated on August 9, 2006.
JOEL WIERSUM SR., DDS practices at 411 REZANOF DR E, SUITE 101, Kodiak, AK 99615.
Quick Facts
- NPI
- 1467462341
- Type
- Individual
- Enumerated
- Aug 9, 2006
- Last Updated
- Jul 8, 2007
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