Individual
ALYSE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1210 NW 18TH ST, ANKENY, IA 50023
(515) 964-5700
Mailing address
6488 NE 12TH AVE, PLEASANT HILL, IA 50327-8827
(262) 945-1250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09548
IA
Other
Enumeration date
05/30/2018
Last updated
07/23/2019
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