DR. Mark J Wende, DDS

NPI #1710909007 in W Hazleton, Pennsylvania

Provider Information

NPI Number: 1710909007
Entity Type: Individual
Name: DR. Mark J Wende, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 172 SUSQUEHANNA BLVD
City: W Hazleton
State: Pennsylvania
ZIP Code: 18202-1118
Phone: (570) 455-8121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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