Provider Demographics
NPI:1346464047
Name:JIANG, WENDER (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:WENDER
Middle Name:
Last Name:JIANG
Suffix:
Gender:M
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 1:9630 CLAREWOOD DR. STE A-4
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-774-1136
Mailing Address - Fax:713-774-1544
Practice Address - Street 1:9630 CLAREWOOD DR STE A4
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3535
Practice Address - Country:US
Practice Address - Phone:713-774-1136
Practice Address - Fax:713-774-1544
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX140741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice