Individual
ALEXANDER WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2240 SH-114, STE 650, TROPHY CLUB, TX 76262
(175) 325-1538
Mailing address
2240 SH 114, STE 650, TROPHY CLUB, TX 76262
(703) 474-9018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34920
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2015
Last updated
07/03/2023
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