Individual
DR. JAMES MAURICE WENSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19551 EUCLID AVE, EUCLID, OH 44117-1409
(216) 692-3777
(216) 692-3688
Mailing address
19551 EUCLID AVE, EUCLID, OH 44117-1409
(216) 692-3777
(216) 692-3688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.014999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320610
—
OH
Enumeration date
04/10/2007
Last updated
07/09/2007
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