MRS. Stacy Wedin-Sandkuhl, DDS

NPI #1396920005 in Deer Park, New York

Provider Information

NPI Number: 1396920005
Entity Type: Individual
Name: MRS. Stacy Wedin-Sandkuhl, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 2, 2008
Last Updated: Jan 2, 2008

Practice Location

Address: 450 GRAND BLVD
City: Deer Park
State: New York
ZIP Code: 11729-4243
Phone: (631) 667-4080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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