Most Relevant Information
Provider Data
| NPI Number: | 1003240375 |
| Provider Name: | ELIZABETH R WEHLAGE RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 10859 |
Most Important Dates
| Enumeration Date: | 08/22/2013 |
| Last Updated: | 08/22/2013 |
Provider Practice Location
1408 EAST ST
SUITE C
IOLA
KS
667494402
Practice Location Phone/Fax
| Phone: | 6203656400 |
| Fax: | 6203656402 |
Provider Mailing Location
3011 N MICHIGAN ST
PITTSBURG
KS
667622546
Provider Mailing Phone/Fax
| Phone: | 6202319873 |
| Fax: | 6202312808 |