Individual
DR. DOUGLAS C WENDT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
268 S MOON AVE, BRANDON, FL 33511-5711
(813) 684-8085
(813) 684-7971
Mailing address
268 S MOON AVE, BRANDON, FL 33511-5711
(813) 684-8085
(813) 684-7971
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10196
FL
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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