# DR. K. S. WENDY JANGDHARI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275647463
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | TN DS 4380 | TN | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 03/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0054816 | BLUE CROSS BLUE SHIELD TN | TN |
| 01 | — | 861883 | UNITED CONCORDIA | TN |
