Individual
DR. KYLE STEWART WENDFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2401 GREEN RIVER DR, CHULA VISTA, CA 91915-2202
(619) 600-7137
Mailing address
2401 GREEN RIVER DR, CHULA VISTA, CA 91915-2202
(619) 600-7137
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58394
CA
Other
Enumeration date
12/08/2005
Last updated
10/15/2012
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