Organization
LELIS WANDELL DENTAL PARTNERSHIP
Active
Other names
Ukiah Oral Surgery & Dental Implants, Healdsburg Oral Surgery & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM JOSHUA FARRELL WANDELL DDS, MD (CO-OWNER)
(707) 433-0231
Entity
Organization
Contact information
Practice address
620 S DORA ST STE 205, UKIAH, CA 95482-5482
(707) 462-6938
Mailing address
620 S DORA ST STE 205, UKIAH, CA 95482-5482
(707) 462-6938
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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