Individual
DR. FELIX WANGSAWIHARDJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
927 N MAIN ST, VERONA, WI 53593-1913
(608) 848-2000
Mailing address
440 SCIENCE DR STE 100, MADISON, WI 53711-1064
(608) 308-2950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001857-15
WI
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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