Organization
FLORENA LLC
Active
Other names
Dr. Angela Wandera and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
R. ANGELA WANDERA (DR. ANGELA WANDERA)
(952) 941-7393
Entity
Organization
Contact information
Practice address
8785 COLUMBINE RD, EDEN PRAIRIE, MN 55344-6695
(952) 941-7393
(952) 941-2162
Mailing address
8785 COLUMBINE RD, EDEN PRAIRIE, MN 55344-6695
(952) 941-7393
(952) 941-2162
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D11618
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D11618
MN
Other
Enumeration date
05/09/2007
Last updated
02/15/2017
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