Individual
DR. CHARLES T WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9041 N RODGERS CT SE, CALEDONIA, MI 49316-7660
(616) 891-8931
Mailing address
414 BENSON AVE NE APT 1257, GRAND RAPIDS, MI 49503-0042
(989) 493-0701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
290102274
MI
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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