Organization
KEVIN J WENDELL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JAMES WENDELL D.D.S. (PRESIDENT)
(401) 439-4213
Entity
Organization
Contact information
Practice address
1021 MAIN RD, WESTPORT, MA 02790-4412
(508) 636-5111
(508) 636-2318
Mailing address
PO BOX 3297, WESTPORT, MA 02790-0716
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21181
MA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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