Provider Demographics
NPI:1730845173
Name:GARCIA, WENDY MARIE (RDH)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:MARIE
Last Name:GARCIA
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:FONES SCHOOL OF DENTAL HYGIENE
Mailing Address - Street 2:60 LAFAYETTE STREET
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604
Mailing Address - Country:US
Mailing Address - Phone:203-576-4141
Mailing Address - Fax:203-576-4220
Practice Address - Street 1:FONES SCHOOL OF DENTAL HYGIENE
Practice Address - Street 2:60 LAFAYETTE STREET
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604
Practice Address - Country:US
Practice Address - Phone:203-576-4141
Practice Address - Fax:203-576-4220
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023778124Q00000X
CT002671124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist