| Stephen H Wander, Dds, Pa | |
|
12301 Taft St #300 Pembroke Pines FL 33026-4387 | |
| (954) 962-8311 | |
| Not Available |
| Full Name | Stephen H Wander, Dds, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12301 Taft St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Stephen H Wander (PRESIDENT) |
| Authorized Official Contact | 9549628311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen H Wander, Dds, Pa 12301 Taft St #300 Pembroke Pines FL 33026-4387 Ph: (954) 962-8311 | Stephen H Wander, Dds, Pa 12301 Taft St #300 Pembroke Pines FL 33026-4387 Ph: (954) 962-8311 |
| NPI Number | 1396840252 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396840252 | NPI | - | NPPES |
| 4723 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4723 (Florida) | Primary |
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