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Individual
DR. BRENT ARTHUR WENZEL
Active
Individual
DR. BRENT ARTHUR WENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2006025630
MO
1223P0300X
Periodontics
2006025630
MO
1223P0300X
Periodontics
Primary
60867
KS
1223P0300X
Periodontics
6644-015
WI
Other
Enumeration date
04/09/2007
Last updated
01/03/2019
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