Most Relevant Information
Provider Data
| NPI Number: | 1003175837 |
| Provider Name: | JANE LEA WACHTER D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 08906 |
Most Important Dates
| Enumeration Date: | 05/14/2012 |
| Last Updated: | 08/20/2015 |
Provider Practice Location
102 W SENECA ST
RAVENNA
NE
688691363
Practice Location Phone/Fax
| Phone: | 3084523523 |
| Fax: |
Provider Mailing Location
102 W SENECA ST
PO BOX 68
RAVENNA
NE
688691363
Provider Mailing Phone/Fax
| Phone: | 3084523523 |
| Fax: | 3084523846 |