DR. Jean Teresa Wade, D.D.S

NPI #1457497018 in Andrews, Texas

Provider Information

NPI Number: 1457497018
Entity Type: Individual
Name: DR. Jean Teresa Wade, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jan 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 612 HOSPITAL DR
City: Andrews
State: Texas
ZIP Code: 79714-3615
Phone: (432) 523-7782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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