Individual
DR. JACLYN D WEDEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6410 FANNIN ST, SUITE 310, HOUSTON, TX 77030-3000
(713) 823-7005
Mailing address
7107 NORTHAMPTON WAY, HOUSTON, TX 77055-7624
(713) 823-7005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28718
TX
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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