Individual
DR. BRADFORD THOMAS WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
840 ROOSEVELT TRL, WINDHAM, ME 04062-5375
(207) 894-5580
Mailing address
4 GENERAL WING RD, RUTLAND, VT 05701
(802) 775-0819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4557
ME
Other
Enumeration date
06/06/2017
Last updated
04/17/2019
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