Individual
DR. GLENN KEITH WENDELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
803 SUPERIOR ST, PORT HURON, MI 48060-3764
(810) 987-7224
(810) 987-8585
Mailing address
803 SUPERIOR ST, PORT HURON, MI 48060-3764
(810) 987-7224
(810) 987-8585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901010502
MI
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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