| NPI | 1225416589 |
|---|---|
| Former Name | EMILY KAYE WENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 10312) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 1767) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-09-16 |