NPI | 1073727293 |
---|---|
Doing Business As | DR. ANGELA WANDERA AND ASSOCIATES |
Entity Type | Organization |
Authorized Contact | R. ANGELA WANDERA Dr. Angela Wandera 952-941-7393 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MN D11618) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D11618) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2017-02-15 |