Individual
DR. BROOKE ELIZABETH WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3445 O ST, LINCOLN, NE 68510-1541
(402) 474-3445
Mailing address
9748 FRIEDMAN ST, LINCOLN, NE 68516-3524
(402) 641-4044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7623
NE
Other
Enumeration date
07/14/2020
Last updated
07/16/2020
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