Individual
DR. RYAN TERRENCE WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MSD
Contact information
Practice address
5825 LANDERBROOK DR, SUITE 224, MAYFIELD HTS, OH 44124-6532
(440) 442-0916
(440) 442-0960
Mailing address
5825 LANDERBROOK DR, SUITE 224, MAYFIELD HTS, OH 44124-6532
(440) 442-0916
(440) 442-0960
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20815
OH
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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