Individual
DR. WENDELL PETER NORDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
850 PROSPECT STREET, LA JOLLA, CA 92037
(858) 459-7374
(858) 459-0057
Mailing address
850 PROSPECT STREET, LA JOLLA, CA 92037
(858) 459-7374
(858) 459-0057
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28777
CA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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