Individual
AMANDA LEIGH WENDELKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3104 NW 23RD ST, OKLAHOMA CITY, OK 73107-1902
(405) 420-6787
Mailing address
3104 NW 23RD ST, OKLAHOMA CITY, OK 73107-1902
(405) 420-6787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6511
OK
Other
Enumeration date
05/26/2013
Last updated
05/26/2013
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