Individual
KELSEY WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4000 E CAMPUS LOOP S, LINCOLN, NE 68583-1530
(402) 472-1333
Mailing address
3098 ROBERTS FERRY RD NE, SOLON, IA 52333-9311
(319) 330-6345
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7828
NE
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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