Michael D Wangagaard DDS

NPI 1073512166 - Dentist - 1223G0001X

NPI Details
NPI 1073512166
Gender Male
Enumeration Date 07/20/2005
Last Updated 06/09/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1400 BEECHWOOD TER
MANHATTAN KS, 66502-7438, US
Phone (785) 539-4601
Fax
Business Location
3136 DICKENS AVE
MANHATTAN KS, 66503-2444, US
Phone (785) 320-4551
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Kansas
License Number 5102
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According to our database, Dr. Michael D Wangagaard DDS NPI is 1073512166, taxonomy code is 1223G0001X and license number is 5102, license state is located at Kansas. Michael D Wangagaard DDS physically located at 1400 Beechwood Ter, Manhattan KS, 66502-7438. NPI Number Michael D Wangagaard DDS has the Individual type.

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1073512166 NPI number is provided on an as is basis without warranty of any kind. 1073512166 is maintained by the National Plan & Provider Enumeration System. The contents of Michael D Wangagaard DDS are for informational purposes only.