Provider Demographics
NPI:1164698031
Name:STRUSS WILLETT, WENDY (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:STRUSS WILLETT
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10015 BROADWAY ST STE F
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7879
Mailing Address - Country:US
Mailing Address - Phone:713-436-4280
Mailing Address - Fax:713-436-4260
Practice Address - Street 1:10015 BROADWAY ST STE F
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7879
Practice Address - Country:US
Practice Address - Phone:713-436-4280
Practice Address - Fax:713-436-4260
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX196751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics