Healthcare Provider Details

I. General information

NPI: 1962623231
Provider Name (Legal Business Name): WUANSAH DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1928 EAST GENESEE
SAGINAW MI
48601
US

IV. Provider business mailing address

PO BOX 690
SAGINAW MI
48601
US

V. Phone/Fax

Practice location:
  • Phone: 989-753-1993
  • Fax: 989-753-7959
Mailing address:
  • Phone: 989-753-1993
  • Fax: 989-753-7959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIANA ABA OFORI-DANKWA
Title or Position: FAMILY DENTIST
Credential: DDS
Phone: 989-753-4445