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Organization

STEPHEN H WANDER, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN H WANDER DDS (PRESIDENT)
(954) 962-8311
Entity
Organization

Contact information

Practice address
12301 TAFT ST, #300, PEMBROKE PINES, FL 33026-4387
(954) 962-8311
Mailing address
12301 TAFT ST, #300, PEMBROKE PINES, FL 33026-4387
(954) 962-8311

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4723
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4723
LICENSE
FL
Enumeration date
09/14/2006
Last updated
08/22/2020
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