DR. Lora Wonderly, DMD
NPI #1013207265 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1013207265
- Entity Type
- Individual
- Name
- DR. Lora Wonderly, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 8, 2011
- Last Updated
- Jul 13, 2016
Practice Location
- Address
- 4616 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6826
- Phone
- (260) 432-8596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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