Individual
CLARK A WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
(505) 256-6415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4072
NM
1223G0001X
General Practice Dentistry
Primary
DS044950
PA
Other
Enumeration date
04/04/2013
Last updated
03/19/2026
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