Provider Demographics
NPI:1003092461
Name:WREN, KENDRA STEUBING (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENDRA
Middle Name:STEUBING
Last Name:WREN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:COMFORT
Mailing Address - State:TX
Mailing Address - Zip Code:78013-0096
Mailing Address - Country:US
Mailing Address - Phone:830-995-5227
Mailing Address - Fax:
Practice Address - Street 1:210B US HIGHWAY 87
Practice Address - Street 2:
Practice Address - City:COMFORT
Practice Address - State:TX
Practice Address - Zip Code:78013-3705
Practice Address - Country:US
Practice Address - Phone:830-995-5047
Practice Address - Fax:830-995-5355
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX198281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice