# WENDEL FAMILY DENTAL CENTRE PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295844900
- **Authorized official:** JENNIFER SIGMAN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (360) 254-5254

## Contact information

- **Practice address:** 7012 NE 40TH ST, VANCOUVER, WA 98661-3052
- **Practice address phone:** (360) 254-5254
- **Practice address fax:** (360) 944-3835
- **Mailing address:** 7012 NE 40TH ST, VANCOUVER, WA 98661-3052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0300X | Periodontics | — | — | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/29/2007