Individual
DR. LARA J FOERSTER WENDELKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
MY DENTIST 1900 S. AIR DEPOT, SUITE 1, MIDWEST CITY, OK 73110-5522
(405) 455-1534
(405) 455-1513
Mailing address
MY DENTIST 1900 S. AIR DEPOT, SUITE 1, MIDWEST CITY, OK 73110-5522
(405) 455-1534
(405) 455-1513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5862
OK
Other
Enumeration date
01/11/2007
Last updated
07/09/2007
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