Individual
WENDY S MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6702 PARK GROVE BLVD, WHITESTOWN, IN 46075-6208
(317) 397-7583
Mailing address
6702 PARK GROVE BLVD, WHITESTOWN, IN 46075-6208
(317) 397-7583
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
89001506A
IN
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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