Lelis Wandell Dental Partnership
NPI #1902650971 in Ukiah, California
Provider Information
- NPI Number
- 1902650971
- Entity Type
- Organization
- Organization Name
- Lelis Wandell Dental Partnership
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Apr 15, 2024
- Last Updated
- Apr 15, 2024
Practice Location
- Address
- 620 S DORA ST STE 205
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-5482
- Phone
- (707) 462-6938
Authorized Official
- Name
- DR. ADAM JOSHUA FARRELL WANDELL, DDS, MD
- Title
- CO-OWNER
- Phone
- (707) 433-0231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
Additional Practice Locations
445 March Ave Ste B
Healdsburg, CA, 95448-3383
(707) 433-0231
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