Individual
DR. TODD RICHARD WELLENSIEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
684 N 5TH ST, TECUMSEH, NE 68450-2055
(402) 335-3791
(402) 335-3891
Mailing address
684 N 5TH ST, TECUMSEH, NE 68450-2055
(402) 335-3791
(402) 335-3891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4667
NE
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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