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General NPI Number Information
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NPI Number | 1558256859
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Entity Type | Organization
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Legal Business Name | MB WENZEL
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 7067 E TANQUE VERDE RD
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City | TUCSON
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State | AZ
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Zip | 85715-5311
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Country | US
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Telephone | 520-721-8011
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Fax |
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Provider Business Mailing Address
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Address Line | 7067 E TANQUE VERDE RD # 85715
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City | TUCSON
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State | AZ
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Zip | 85715-5311
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONICA WENZEL
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Credential |
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Telephone | 520-721-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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