Michael D Wangagaard, DDS Valid NPI
Individual provider · General Practice Dentistry · Manhattan, KS
- NPI
- 1073512166
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5102 (KS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-07-20
- Last updated
- 2015-06-09
Practice location
1400 Beechwood Ter
Manhattan, KS 66502-7438
(785) 539-4601