Individual
RUTH ANGELA WANDERA
Active
Individual
RUTH ANGELA WANDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
D11618
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11618
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15212
DORAL
MN
01
—
261084100
MHCP
MN
Enumeration date
12/15/2005
Last updated
10/28/2025
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