| NPI | 1922139294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS C WENDT Dr. Douglas C. Wendt, Jr., D.D.S. 813-684-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL 10196) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |