Individual
DR. EDWIN CLARENCE WENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4013-84TH, LUBBOCK, TX 79423
(806) 792-7223
Mailing address
#2 LAKESHORE DRIVE, RANSOM, TX 79366
(806) 745-1812
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14591
TX
Other
Enumeration date
10/24/2006
Last updated
01/26/2021
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