Individual
DR. ANDREW JOHN WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
850 COUNTY ROAD D W, NEW BRIGHTON, MN 55112-7570
(612) 788-9666
(612) 788-9668
Mailing address
850 COUNTY ROAD D W, NEW BRIGHTON, MN 55112-7570
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11788
MN
Other
Enumeration date
11/24/2006
Last updated
09/10/2024
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