Organization
DOUGLAS C WENDT, JR., D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS C WENDT JR. D.D.S. (DR. DOUGLAS C. WENDT, JR., D.D.S.)
(813) 684-8085
Entity
Organization
Contact information
Practice address
268 S MOON AVE, BRANDON, FL 33511-5711
(813) 684-8085
(813) 684-7971
Mailing address
268 S MOON AVE, BRANDON, FL 33511-5711
(813) 684-8085
(813) 684-7971
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10196
FL
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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