Individual
DR. BRENT ARTHUR WENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
153 W 151ST ST STE 130, OLATHE, KS 66061-5300
(913) 764-8883
Mailing address
153 W 151ST ST STE 130, OLATHE, KS 66061-5300
(913) 764-8883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2006025630
MO
1223P0300X
Periodontics
2006025630
MO
1223P0300X
Periodontics
Primary
60867
KS
1223P0300X
Periodontics
6644-015
WI
Other
Enumeration date
04/09/2007
Last updated
01/03/2019
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