Individual
ROGER WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7012 NE 40TH ST, VANCOUVER, WA 98661-3052
(360) 254-5254
(360) 944-3835
Mailing address
7012 NE 40TH ST, VANCOUVER, WA 98661-3052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004012
WA
Other
Enumeration date
10/12/2006
Last updated
08/29/2007
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