Individual
WYLEY WONDERCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
513 S. 13TH ST., NORFOLK, NE 68701
(402) 379-2775
Mailing address
513 S 13TH ST, NORFOLK, NE 68701-4966
(402) 379-2775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7236
NE
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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