Individual
DR. WENDY JOHNSON O'HAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3712 S CEDAR ST, TACOMA, WA 98409-5715
(253) 682-2860
(253) 682-2191
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60350525
WA
1223G0001X
General Practice Dentistry
9036
CO
1223G0001X
General Practice Dentistry
DE60350525
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155457
—
WA
Enumeration date
09/23/2006
Last updated
03/30/2026
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