Individual
STEPHANIE NICOLE WANGERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
105 WHITBY CT, JACKSONVILLE, NC 28540-4525
(910) 340-6899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13240
NC
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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