Provider Demographics
NPI:1841368891
Name:WEHRLE, KARL FRIEDERICH (DDS)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:FRIEDERICH
Last Name:WEHRLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8425 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-5303
Mailing Address - Country:US
Mailing Address - Phone:619-464-3631
Mailing Address - Fax:619-464-3724
Practice Address - Street 1:8425 GRANT ST
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-5303
Practice Address - Country:US
Practice Address - Phone:619-464-3631
Practice Address - Fax:619-464-3724
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2014-12-03
Deactivation Date:2007-07-02
Deactivation Code:
Reactivation Date:2014-12-03
Provider Licenses
StateLicense IDTaxonomies
CA248871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice