| NPI | 1629849088 |
|---|---|
| Doing Business As | WENDELL FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GLORIA BOHNE Director Of Rcm 984-308-0506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |