Provider Demographics
NPI:1922256106
Name:BOND-MCAFERTY, WENDY JEAN (RDH)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:JEAN
Last Name:BOND-MCAFERTY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9731 NOSCHKA RD SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-9393
Mailing Address - Country:US
Mailing Address - Phone:360-754-7611
Mailing Address - Fax:360-956-7212
Practice Address - Street 1:9731 NOSCHKA RD SW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98512-9393
Practice Address - Country:US
Practice Address - Phone:360-754-7611
Practice Address - Fax:360-956-7212
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-31
Last Update Date:2008-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00005185124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist